- Bingo Forms
- Commercial Lessors - Bingo Forms
- Commercial Lessors - GOC Forms
- Electronic Bingo Aid Forms
- Form 1A
- Games of Chance Forms
- Municipal Clerk Forms
- Raffles Over $30,000 Forms
- Raffles Under $30,000 Forms
- Suppliers & Manufacturers - New
- Suppliers & Manufacturers - Renewal
Bingo
• Bingo � Early Bird Worksheet
• Bingo � Bonus Ball Worksheet
• BC-2 Application for Bingo License * BC-2, 2A and 2B must always be filed together.
• BC-2A Application for Bingo License Schedules 1,2,3,4
• BC-2B Application for Bingo License Schedules 5,6,7
• BC-4 Findings and Determination for Bingo License (clerks only)
• BC-5 License to Conduct Bingo Games (clerks only)
• BC-6 Application to Amend Bingo License
• BC-7 Financial Statement of Bingo Operations
• BC-7B Cash Control Report (submit with BC-7) (referred to as Appendix T-2 in Section 4821.13)
• BC-7Q Quarterly Statement of Bingo Operations
• BC-8 Municipal Register of Bingo Licenses (clerks only)
• BC-9 Financial Statement of Bingo Operations (Limited Period Bingo)
• BC-317 Application for Permission to Distribute Net Proceeds of Bingo
Commercial Lessors - Bingo
• BC-101 Application for Commercial Lessor's License
• BC-102 Bingo Rental Statement
• BC-109 Commercial Lessor's License (clerks only)
• BC-116 LEASE Agreement - Use of Premise for Bingo
• BC-204 Commercial Lessor's Monthly Rental Statement
• Form 103 Schedule D - Individual Statement
• Form 104 Schedule B - Individual, Partner, Association, etc. Statement
• Form 105 Schedule C - Corporation Statement
• Form 108 Schedule E - List of Employees, Agents or Representatives
Commercial Lessors - Games of Chance
• GC-101 Application for Games of Chance Lessor's License
• GC-102 Games of Chance Rental Statement
• GC-109 Games of Chance Lessor's License (clerks only)
Electronic Bingo Aid
Form 1A
• 1A Application for Registration and Identification Number (please see instruction letter)
Games of Chance
• GC-2 Application for Games of Chance License * GC-2, 2A and 2B must always be filed together.
• GC-2A Application for Games of Chance License (cont.)
• GC-2B Application for Games of Chance License (cont.)
• GC-317 Application for Permission to Disburse Net Proceeds of Games of Chance
• GC-4 Findings & Determination for Games of Chance License (clerks only)
• GC-5 License to Conduct Games of Chance (clerks only)
• GC-6 Application to Amend Games of Chance License
• GC-7 Financial Statement for Games of Chance Operations
• GC-7B Cash Control Summary for Games of Chance (submit with GC-7 for Vegas Nights, Carnivals, Bazaars only)
• Internal Controls for the Operation of Bell Jar Ticket Sales
• Control Report of Bell Jar Ticket Sales
• GC-7Q Quarterly Statement of Bell Jar Operations
• GC-7Q Schedule 1 Bell Jar Deals Sold (must accompany GC-7Q)
• GC-8 Municipal Register of Games of Chance Licenses (clerks only)
• GC-01BJ Bell Jar Ticket Dispensing Machine Registration Application Form
Municipal Clerk
Raffles with net-profits over $30,000 for the calendar year
• GC-2 Application for Games of Chance License * GC-2, 2A and 2B must always be filed together.
• GC-2A Application for Games of Chance License (cont.)
• GC-2B Application for Games of Chance License (cont.)
• GC-4 Findings & Determination for Games of Chance License (clerks only)
• GC-5 License to Conduct Games of Chance (clerks only)
• GC-6 Application to Amend Games of Chance License
Raffles with net-profits under $30,000 for the calendar year
• GCVS-1 Verified Statement for Raffle Ticket Operations (this is the license)
• GCVS-2 Verified Statement of Raffle Operations with net profits less than $30,000
Suppliers and Manufacturers - New Licenses
• Quarterly Statement of Sales of Games of Chance and Bingo Supplies & Equipment
• Annual Supplier Bingo Gross Sales Form
• Annual Supplier Games of Chance Gross Sales Form
• Instructions for Submitting Fingerprints
• FBI Privacy Act Statement 2023
• Instructions - New Supplier Cover Letter
• Form GC/BC-106 Application for Games of Chance and/or Bingo Supplier's License
• Form 103 Schedule D - Individual Statement
• Form 104 Schedule B - Individual, Partner, Association, etc. Statement
• Form 105 Schedule C - Corporation Statement
• Form 108 Schedule E - List of Employees, Agents or Representatives
• Instructions for Foreign Corporations
• New Worker's Compensation Form CE-200
• Proof of Identification Form and Chart (contains list of acceptable forms of identification)
Suppliers and Manufacturers - Renewal Licenses
• Annual Supplier Bingo Gross Sales Form
• Annual Supplier Games of Chance Gross Sales Form
• Instructions for Submitting Fingerprints
• FBI Privacy Act Statement 2023
• Instructions-Renewal of New York State Supplier's License
• Form GC/BC-106 Application for Games of Chance and/or Bingo Supplier's License
• Form 103 Schedule D - Individual Statement
• Form 104 Schedule B - Individual, Partner, Association, etc. Statement
• Form 105 Schedule C - Corporation Statement
• Form 108 Schedule E - List of Employees, Agents or Representatives
• Instructions for Foreign Corporations
• Quarterly Statement of Sales of Games of Chance and Bingo Supplies & Equipment
• New Worker's Compensation Form CE-200
• Proof of Identification Form and Chart (contains list of acceptable forms of identification)