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Bingo-Raffle Forms List



Applications
Form name Paper form Instructions
LE7-8 Combined: Application for a Bingo-Raffle License, Roster of Member in Charge and Members Assisting PDF PDF
LE38: Games Manager Certificate Application/Oath PDF n/a



Bingo-Raffle Licensee Forms
Form name Paper forms Instructions
LE-21 - Quarterly Report PDF XLS PDF
LE-21a - Quarterly Report Addendum - Segregated Bank Account Information PDF n/a n/a
LE-21 Schedule A - Distribution of Proceeds PDF XLS PDF
LE-21 Combined - Combined Quarterly Report, Addendum, and Distribution of Proceeds PDF XLS PDF
LE-31 - Pull Tabs Identification & Sales - Pull Tabs Held at Bingo or Bar/Club Rooms PDF XLS PDF
LE-31a - Progressive Pull Tab Summary PDF XLS PDF
LE-32 - Bingo Occasion Activity Summary PDF XLS PDF
LE-33 - Summary of Pull Tab Activity PDF XLS PDF
LE-34 - Bingo Door Count & Income per Occasion PDF XLS PDF
LE-34a - Progressive Jackpot Bingo Summary PDF XLS PDF
LE-34b - Progressive Jackpot Bingo Summary (Secondary Jackpot) PDF XLS PDF
LE-35 - Special Report (Bingo Disposable Sheets) PDF XLS PDF
LE-36 - Bingo Payout Report PDF XLS PDF
LE-37 - Last Sale Pull Tab PDF XLS n/a



Miscellaneous
Form name Paper form Instructions
Request for Permission to Incur and Pay Expenses for Security Guards PDF n/a
Commercial Bingo Facility Rental Agreement PDF n/a
Bingo Equipment Use Agreement PDF n/a



Landlords
Form name Paper form Instructions
Application for a Commercial Landlord License PDF n/a
Bingo-Raffle Landlord Licensee Promotion Report PDF n/a



Manufacturers
Form name Paper form Instructions
Application for a Bingo Raffle Manufacturer License PDF n/a n/a
Application for a Bingo Raffle Manufacturer's Agent License PDF n/a n/a
Manufacturer Licensee Quarterly Report PDF XLS n/a



Suppliers
Form name Paper form Instructions
Application for a Bingo Raffle Supplier License PDF n/a n/a
Application for a Bingo Raffle Supplier's Agent License PDF n/a n/a
Supplier Licensee Quarterly Report PDF XLS n/a



Complaints
Form name Paper form Instructions
Bingo-Raffle Complaint Form PDF n/a

 

 

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