SERVICES/FORMS
Animal Health
Charitable Gaming
Charitable Solicitation
Credit Services Business
Extended Service Contract
Fantasy Contests
Feed, Fertilizer & Seed
Food
Fruit, Vegetable & Peanut Marketing Services
Health Clubs
Home Operations
Home Service Contracts
Market News Service
Meat & Poultry Services
Membership Campgrounds
Payment Portal
Pesticide Services
Plant Industry Services
Prepaid Legal Service Plan Sellers
Transporters of Waste Kitchen Grease
Promotional
Travel Clubs
Weights & Measures
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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
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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 (xls)
Bingo Caller Certificate of Registration Application – Form 401 (pdf)
Bingo Caller Certificate of Registration Application – Form 401 (xls)
Bingo Manager Training Material
Bingo Caller Training Material
List of Registered Bingo Caller
List of Registered Bingo Manager
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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)
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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 08/01/13) (pdf)
Annual Supplier Sales and Transactions Report - Form 302 (Revised 08/01/13) (xls)
Instructions (Revised 07/30/13)
Supplier Transaction Reporting Format
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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)
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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 (xls)
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 (xls)
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) (xls)
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 (xls)
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 (xls)
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 (xls)
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 (xls)
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 (xls)
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 (pdf)
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) (xls)
Form 107 - Instructions (Revised 08/01/13)
Form 108 - Prize Receipt Form (Revised 08/01/13) (pdf and xls)
Form 108 - Prize Receipt Form (Revised 08/01/13) (pdf and xls)
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 (xls)
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 (xls)
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) (xls)
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) (xls)
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) (xls)
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 3/25) - Required (xlsx)
Form 115 – Electronic Gaming/Pull-Tab Deposit Reconciliation (Revised 3/25) - Required (pdf)
Form 115 – Instructions (Revised 3/25)
Form 117 – Texas Hold’em Poker Tournament Reconciliation Summary (Revised 5/24) – Required (pdf)
Form 117 – Texas Hold’em Poker Tournament Reconciliation Summary (Revised 5/24) – Required (xlsx)
Form 117 - Instructions (Revised 08/05/24)
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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)
Schedule A – Accounting For All Ticket Sales, Including Solicitation for Donated Tickets: (Form 131)
Commitment for Receipt of Donated Tickets: (Form 132)
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
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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, Horticultual 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 Packet for Agricultural Products Dealer
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
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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
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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
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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
