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Submit a Financial Statement

Please use the financial statement that is provided in your license packet.  It should be completed in full, signed by the principal officer of the organization, and submitted to the Charitable Gaming Division. 

Financial statements for one-time events (raffle, special bingo, and special charity game) are due by the 10th of the month following the event.  Financial statements for annual licenses (weekly bingo and annual charity game ticket) are to be filed by the 10th of the month following the end of the quarter. 

Completed financial statements may be emailed to or faxed to 517-267-2285.

If you cannot locate the original financial statement a blank copy is available here.

Bingo Financial Statement

Charity Game Ticket Financial Statement

Raffle Financial Statement

Special Bingo Financial Statement

NOTE:  If an emergency order suspends all services, financial statements that are due for submission to Charitable Gaming will be extended until thirty (30) days after any emergency order has been lifted.