Bingo Forms

Class I Bingo

Checklist (Make Sure Your Application is Complete)

Applications

Form

Form Title

Type

Form #

Document

Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card

Applications

50

Form

Schedule I, Bingo License

Applications

50

Form

Nebraska Application for Utilization of Funds Member

Applications

50H

Form

Nebraska Bingo Tax Return

Reporting

51B

Form

Schedule I, Bingo Occasion Activity Report

Reporting

51B

Form

Nebraska Class I Bingo Annual Report - View and Print Only

Reporting

35

Form

Class II Bingo

Form Title

Type

Form #

Document

Checklist (Make Sure Your Application is Complete)

Applications

Form

Instructions for Completion of BIENNIAL License Renewal Application

Applications

Form

Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card

Applications

50

Form

Schedule I, Bingo License

Applications

50

Form

Nebraska Application for Utilization of Funds Member

Applications

50H

Form

Nebraska Application for Gaming Manager

Applications

50C

Form

Instructions for Completing Fingerprint Application

Applications

Form

Background Check Waiver

Applications

Form

Nebraska Bingo Tax Return

Reporting

51B

Form

Schedule I, Bingo Occasion Activity Report

Reporting

51B

Form

Nebraska Class II Bingo Quarterly/Annual Report - View and Print Only

Reporting

35C

Form

Special Event Bingo

Form Title

Form #

Document

Nebraska Application for Special Event Bingo Permit

50J

Form

Commercial Lessor

    Form Title

    Form #

    Document

    Nebraska Application for Commercial Lessor of Bingo Premises

    50B

    Form

    Schedule I, Registration of Bingo Premises

    50B

    Form

    Manufacturer & Distributor

      Form Title

      Form #

      Document

      Nebraska Application for Manufacturers, Distributors, and Manufacturer-Distributors

      50A

      Form

      Personal History Record and Background Disclosure Form for Charitable Gaming Licensees and Nebraska (State) Lottery Vendors

      Form

      A Summary of Your Rights Under the Fair Credit Reporting Act

      Form

      Affidavit by Spouse for Waiver of Fingerprinting and/or Personal History Record and Background Disclosure Form for Charitable Ga

      Form

      Instructions for Completing Fingerprint Application

      Form

      Background Check Waiver

      Form

      Nebraska Licensed Manufacturers

      Document

      Nebraska Licensed Distributors

      Document

      Miscellaneous

      Form Title

      Form #

      Document

      Request for Abatement of Penalty

      21

       Form

      Power of Attorney

      33

      Form

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