SERVICES/FORMS
Animal Health
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Animal Custody Record
Animal Custody Record Online
Reporting System—User Login
Animal Custody Record Online
Reporting System—Public Report Search
Animal Care Complaint Form
Animal Health Laboratory Fee Schedule
Animal Health Laboratory
Submission Form
Agricultural Animal Seizure Report
Application for Livestock Dealer Registration
Application for Poultry Dealer Registration
Dangerous Dog Registration
Form
Dangerous Dog Renewal Form
Dangerous Dog Secondary
Owner Information Form
Virginia Dangerous Dog Registry
Equine Event Report
Equine Event Denied Entry Report
Poultry Service Request Form & Fees
Charitable Gaming
Bingo Managers & Callers
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Online Bingo
Manager & Bingo Caller Registration System
Bingo Manager Certificate of
Registration Application – Form 402 (pdf)
Bingo
Manager Certificate of Registration Application –
Form 402 (xlsx)
Bingo Caller
Certificate of Registration Application – Form 401
(pdf)
Bingo Caller
Certificate of Registration Application– Form 401
(xlsx)
Bingo Manager Training Material
Bingo Caller Training Material
List of
Registered Bingo Caller
List of
Registered Bingo Manager
Organization Licensing
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Tips for using the interactive Excel
Bingo/Raffle Applications
Bingo/Raffle/Texas Hold’em Poker
Tournament Application - New Applicant (pdf)
Bingo/Raffle/Texas Hold’em Poker
Tournament Application - Renewal Applicant (pdf)
Permit
Amendment (pdf)
Gaming Personnel Information Update
(pdf)
Report of Game Termination, Revised
(pdf)
Supplier Licensing
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Charitable Gaming Supplier Permit
Application – Form 301 (Revised 02/26/18)
Certification of Non-Permit Holder –
Form 303 (Revised 07/15/21)
Certification of Non-Charitable
Gaming/Gambling – Form 304 (Revised 05/09/25)
Annual Supplier Sales and
Transactions Report - Form 302 (Revised 09/09/25)
(pdf)
Annual Supplier Sales and
Transactions Report - Form 302 (Revised 09/09/25)
(xlsx)
Instructions (Revised 07/30/13)
Supplier Transaction Reporting
Format (xlsx)
Manufacturer of Electronic Pull-Tab System Licensing
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Currently
Registered Manufacturers of Electronic Pull-Tab
System
Manufacturer of Electronic Pull-Tab
System Permit Application – Form 305 (Revised
10/12)
Manufacturer of Electronic Pull-Tab
System Permit Application – Personal Information
Form – Form 305-A (Revised 10/12)
Manufacturer of Electronic Pull-Tab
System Permit Renewal Application – Form 306
(Revised 10/13)
Manufacturer of Electronic Pull-Tab
System Permit Renewal Application – Personal
Information Form – Form 306-A (Revised 10/13)
Game Management Forms and Complaints
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Form 103 - Bingo Session
Reconciliation Summary
(Revised 10/24/2022) - Required (pdf)
Form 103 - Bingo Session
Reconciliation Summary
(Revised 10/24/2022) - Required (xlsx)
Form 103 - Instructions (Revised
10/24/2022)
Form 104-A - Admission Sales
Reconciliation - Paper
(Revised 03/23/23) - Required (pdf)
Form 104-A - Admission Sales
Reconciliation - Paper
(Revised 03/23/23) - Required (xlsx)
Form 104-A - Instructions (Revised
03/23/23)
Form 104-B - Floor Sales
Reconciliation - Paper
(Revised 12/19/14) (pdf)
Form 104-B - Floor Sales
Reconciliation - Paper
(Revised 12/19/14) (xlsx)
Form 104-B - Instructions (Revised
12/19/14)
Form 104-C - Decision Bingo
Reconciliation (Revised
08/14/13) - Required (pdf)
Form 104-C - Decision Bingo
Reconciliation (Revised
08/14/13) - Required (xlsx)
Form 104-C - Instructions (Revised
07/30/13)
Form 104-D - Raffle/Treasure Chest
Sales
Reconciliation - Bingo Session (Revised 03/23/23) -
Required (pdf)
Form 104-D - Raffle/Treasure Chest
Sales
Reconciliation - Bingo Session (Revised 03/23/23) -
Required (xlsx)
Form 105 - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation (10/24/2022) - Required (pdf)
Form 105 - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation (10/24/2022) - Required (xlsx)
Form 105 - Instructions (Revised
10/24/2022)
Form 105-A - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation (Revised 08/05/13) -
Required (pdf)
Form 105-A - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation (Revised 08/05/13) -
Required (xlsx)
Form 105-A - Instructions (Revised
08/02/13)
Form 106-A - Storeroom Inventory
Issue - Paper
(Revised 08/01/13) - Optional (pdf)
Form 106-A - Storeroom Inventory
Issue - Paper
(Revised 08/01/13) - Optional (xlsx)
Form 106-A - Instructions (Revised
08/01/13)
Form 106-B - Storeroom Inventory
Issue - Instant
Bingo/Seal Cards/Pull-Tabs (Revised 08/01/13) -
Optional (pdf)
Form 106-B - Storeroom Inventory
Issue - Instant
Bingo/Seal Cards/Pull-Tabs (Revised 08/01/13) -
Optional (xlsx)
Form 106-B - Instructions (Revised
08/01/13)
Form 107 - List of Bingo Workers
Form (Revised
08/01/13) (pdf)
Form 107 - List of Bingo Workers
Form (Revised
08/01/13) (xlsx)
Form 107 - Instructions (Revised
08/01/13)
Form 108 - Prize Receipt Form
(Revised 08/01/13)
(pdf and xlsx)
Form 108 - Prize Receipt Form
(Revised 08/01/13)
(pdf and xlsx)
Form 108 - Instructions (Revised
08/01/13)
Form 109-A - Storeroom Inventory -
Paper (Revised
08/01/13) - Required (pdf)
Form 109-A - Storeroom Inventory -
Paper (Revised
08/01/13) - Required (xlsx)
Form 109-A - Instructions (Revised
07/30/13)
Form 109-B - Storeroom Inventory
Form - Instant
Bingo/Seal Cards/Pull-Tabs (Revised 08/01/13) -
Required (pdf)
Form 109-B - Storeroom Inventory
Form - Instant
Bingo/Seal Cards/Pull-Tabs (Revised 08/01/13) -
Required (xlsx)
Form 109-B - Instructions (Revised
08/01/13)
Form 110 – Raffle Sales
Reconciliation Form – Stand
Alone Raffle (Revised 08/01/13) (pdf)
Form 110 – Raffle Sales
Reconciliation Form – Stand
Alone Raffle (Revised 02/26/18) (xlsx)
Form 110 – Instructions
(08/01/13)
Form 111 - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Form (Non-Bingo) (Revised 5/24) (pdf)
Form 111 - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Form (Non-Bingo) (Revised 5/24)
(xlsx)
Form 111 - Instructions (Revised
08/05/24)
Form 111-A - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation Form (Non-Bingo)
(Revised 5/24)
(pdf)
Form 111-A - Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation Form (Non-Bingo)
(Revised 5/24)
(xlsx)
Form 111-A - Instructions (Revised
08/05/24)
Form 111-B – Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation Form (Non-Bingo)
(Revised 5/24)
(pdf)
Form 111-B – Instant Bingo/Seal
Cards/Pull-Tabs
Reconciliation Continuation Form (Non-Bingo)
(Revised 5/24)
(xlsx)
Form 111-B - Instructions (Revised
08/05/24)
Form 112 - Destruction of Unused
Charitable Gaming
Supplies (Revised 05/24) (pdf)
Complaint
Poster (Revised 11/21/17) (pdf)
Form 114 - King of Clubs/Queen of
Hearts/Raffle
Sales Reconciliation – Social Quarters (Revised
5/18/23) - Required
(xlsx)
Form 114 – King of Clubs/Queen of
Hearts/Raffle
Sales Reconciliation – Social Quarters (Revised
5/18/23) - Required
(pdf)
Form 115 – Electronic
Gaming/Pull-Tab Deposit
Reconciliation (Revised 9/26) - Required (xlsx)
Form 115 – Electronic
Gaming/Pull-Tab Deposit
Reconciliation (Revised 9/26) - Required (pdf)
Form 115 – Instructions (Revised
3/25)
Form 115-S Electronic
Gaming/Pull-Tab Supplemental Form (Revised 9/26) –
Optional (xlsx)
Form 115-S Electronic
Gaming/Pull-Tab Supplemental Form (Revised 9/26) –
Optional (pdf)
Form 117 – Texas Hold’em Poker
Tournament
Reconciliation Summary (Revised 8/26) – Required
(pdf)
Form 117 – Texas Hold’em Poker
Tournament
Reconciliation Summary (Revised 8/26) – Required
(xlsx)
Form 117 - Instructions (Revised
08/26)
Charitable Solicitation
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Virginia Exemption Application for Charitable or
Civic
Organization: (Form 100)
Registration Statement for a Charitable
Organization: (Form
102)
Professional Fundraising Registration: (Form
103)
Professional Solicitor Registration: (Form 104)
Professional Solicitor Bond Template: (Form 105)
Solicitation Notice: (Form 120)
Consent to Solicit: (Form 121)
Professional Solicitor’s Final Accounting
Report Late
Fees: (Form 130)
Virginia Solicitation of
Contributions Law
Rules Governing the
Solicitation of Contributions
Unified Registration Statement: This form may be
utilized by
charitable organizations soliciting in multiple states.
Charitable
Solicitation Complaint Form
Feed, Fertilizer & Seed
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CFA Certification Online
Application
Commercial Animal Feed Purchasing Report
Commercial Animal Feed Statement of Agreement
Commercial Animal Feed Tonnage Reporting and Payment
Agreements Instructions
Fertilizer Tonnage Reporting
System
Fertilizer Tonnage County Codes (FIPS)
Fertilizer Tonnage Template
Fertilizer Tonnage: UFTRS Fertilizer Codes
Fertilizer, Soil Amendment, Horticultural Growing
Medium
Purchasing Report
Fertilizer, Soil Amendment, Horticultural Growing
Medium
Statement Of Agreement
Fertilizer, Soil Amendment, Horticultural Growing
Medium
Tonnage Reporting and Payment Agreements Instructions
Industrial Co-Products Guidance
License and Product Registration Packet for
Commercial
Feed
License and Product Registration Packet for
Fertilizer
License and Product Registration Packet for Lime
License and Product Registration Packet for Seed
Turf Fertilizer Reporting
Tool
Virginia Fertilizer/Lime Contractor —
Applicator
Permit
Pesticide Services
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Application for New Pesticide Product
Registration
Application for Reciprocal Pesticide Applicator
Certificate
Application for Virginia Pesticide Business
License
Applicator Change of Information
Business Change of Information
Business License Application Instructions
Certificate of Insurance
Complete Business License Packet
Complete Commercial Pesticide Applicator Packet
Complete Registered Technician Packet
Commercial A Pesticide Applicator Certification
Application
Commercial Application Instructions
Commercial B Pesticide Applicator Request for
Authorization to Take Pesticide Applicator Examination
Pesticide Registered Technician A Application
Pesticide Registered Technician B Application
Pesticide Disposal
Registration Form
Power
of Attorney
Private Pesticide Applicator Testing Application
Proof of Additional Category Specific Training for
Registered Technicians
Registered Technician Instructions
Request to take the Virginia Pesticide Business
License Examination
Responsibilities of Commercial Pesticide Applicators
and Registered Technicians in Virginia
Training Manual Order Form
Virginia Pesticide Discontinuance Policy
Travel Clubs
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Application for Registration Travel Clubs (OCRP-21)
Travel Club Bond Template (OCRP-24)
Irrevocable Letter of Credit
Travel Clubs Template
(OCRP-26)
Travel Club Fidelity Bond
Template (OCRP-25)
Virginia Travel Club Act
Additional Travel Club Registration Guidelines
(OCRP-23)
OCRP Regulatory Programs Complaint Form
Weights & Measures
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Application for the Registration of Motor Fuels
Application for Weights and Measures Service Agency
Certification — Taxi Companies
Application for Weights and Measures Service Agency
Certification
Application for Weights and Measures Service
Technician
Certification
Motor Fuel Price Gouging Complaint Form
Registration Packet for Commission Merchants
Registration Packet for Cotton Handlers
Registration Packet for
Service Agency and Service Technician
Virginia Public Weighmaster Law and Application
Weights and Measures Service
Agency Change of Information Form
Weights and Measures Service
Technician Change of Information Form