Form 28-28, the Bingo License Application, is the Irvine Police Department form that an organization submits to obtain a bingo permit in the City of Irvine, California. The same form covers a New Permit and a Biannual Renewal, and it lists the organization's officers, the property used, the operator and the financial recorder. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the form itself is published by the City of Irvine at cityofirvine.gov.
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What is 28-28?
Form 28-28, Bingo License Application, is the Irvine Police Department form an organization uses to apply for a new bingo permit or a biannual renewal, listing its officers, the property where bingo is played, the operator and the financial recorder.
The two-page form is headed by the Irvine Police Department and is published on the City of Irvine's forms website, which the City Clerk's Office of Records and Information manages. Page 1 holds the date, the application type, the organization's name and business phone, and up to four officers with their titles and driver's license numbers. Page 2 holds the property information (address, occupancy, days and hours of operation), the operator and financial recorder blocks, and the indemnification agreement with officer signatures.
By signing, the officers state that the organization is eligible under California Penal Code section 326.5 to conduct bingo games and that proof of this exemption is submitted with the application. They also agree to run bingo in strict accordance with State and local laws, and accept that the license may be revoked for a violation of those codes. The statements are made under penalty of perjury.
The final block, FOR OFFICE USE ONLY, records whether exemption documents were received, the permit number issued and the issue date. Applicants leave it blank.
Who needs to file 28-28?
An organization that wants to conduct bingo games in Irvine and is eligible under California Penal Code section 326.5 files Form 28-28 through its officers. The form has room for up to four officers, each with a title and driver's license information, and each signs the indemnification agreement.
Choose the application type that matches your situation:
- New Permit for an organization applying for its first bingo permit.
- Biannual Renewal for an organization renewing an existing permit.
The form also asks for an operator and a financial recorder, each with an address, cell phone, email and driver's license number. Their driver's licenses, like those of the officers, must be copied and submitted with the application.
An organization that cannot show an exemption under Penal Code section 326.5 does not meet the eligibility statement the officers sign, because the form requires proof of that exemption with the application. The form does not describe any representative or agent who may sign for the officers.
When to file 28-28
File Form 28-28 when your organization needs a bingo permit in Irvine: select New Permit for a first application, or Biannual Renewal when you are renewing. The form prints no due date, and it does not say how far ahead of a bingo game to apply or how long processing takes.
Because the application must be complete to be processed, gather the driver's license copies for every officer and operator listed, and the proof of exemption under California Penal Code 326.5, before you submit. For timing questions, call the Irvine Police Department at 949-724-7000, the number printed on the form.
Documents you need
- A copy of the driver's license for each officer listed on the form, which the instructions require for the application to be processed.
- A copy of the driver's license of the operator listed on the form, required with the application.
- Proof of exemption under California Penal Code 326.5, showing the organization is eligible to conduct bingo games.
How to fill out 28-28
Enter the date and application type
At the top of page 1, enter the DATE, then select one option under APPLICATION TYPE: NEW PERMIT or BIANNUAL RENEWAL.
Enter the organization information
Write the ORGANIZATION NAME and the BUSINESS PHONE under Organization Information.
List the officers
For each officer, numbered 1 to 4, enter first name, last name, title, DRIVER'S LICENSE NUMBER* and STATE. Only list officers who will sign the indemnification agreement.
Describe the property used
On page 2, enter the ADDRESS OF PROPERTY USED, its OCCUPANCY, the DAYS OF OPERATION and the HOURS OF OPERATION.
Complete the operator information
Enter the operator's first and last name, address, city, state, ZIP, cell phone, email, driver's license number and state. These fields carry an asterisk on the form.
Complete the financial recorder information
Enter the financial recorder's first and last name, address, city, state, ZIP, cell phone, email, driver's license number and state, using the same layout as the operator block.
Read the indemnification agreement
The agreement states that the organization is eligible under California Penal Code section 326.5, that proof of exemption is submitted, and that the information is true under penalty of perjury.
Sign and date for each officer
Each officer listed signs and dates in the matching SIGNATURE OF OFFICER block (1 to 4). Leave FOR OFFICE USE ONLY blank.
Review, download and assemble the package
Check every entry, then download or print the completed PDF from FillingPDF. Add the driver's license copies and the proof of exemption, then submit as described under How to submit.
How to submit 28-28
The form says a Bingo License Application can be submitted electronically, in person or by mail. To be processed, it must include a copy of the driver's license for each officer and operator listed and proof of exemption under California Penal Code 326.5.
- By mail: Irvine Police Department, Attn: Special Permits (G. Vicino), One Civic Center Plaza, Irvine, CA 92606.
- In person: the form does not give a separate counter address; its footer lists the Irvine Police Department at 1 Civic Center Plaza, Irvine, CA 92606, phone 949-724-7000. Call before you go.
- Electronically: the form names no portal or email address. The City of Irvine forms website says forms may be printed, saved or submitted by email or online; for details, contact the Irvine Police Department at 949-724-7000, or the City's forms office at 949-724-6281.
The form mentions no fee. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Submitting the application without a copy of the driver's license for each officer and operator listed.
- Leaving out proof of exemption under California Penal Code 326.5, which the form says must accompany the application.
- Marking both or neither of New Permit and Biannual Renewal instead of selecting one application type.
- Leaving the driver's license number and state blank for an officer, the operator or the financial recorder.
- Omitting the cell phone, email or address fields marked with an asterisk for the operator and financial recorder.
- Mailing the application to the wrong office instead of Irvine Police Department, Attn: Special Permits (G. Vicino).
- Filling in the FOR OFFICE USE ONLY block, which the Irvine Police Department completes.
- Not having every listed officer sign and date the indemnification agreement.
Frequently asked questions
What is Form 28-28, the Bingo License Application?
Form 28-28 is the Irvine Police Department's application for a bingo permit in the City of Irvine. Organizations use it for a new permit or a biannual renewal, listing officers, property, operator and financial recorder, with proof of exemption under California Penal Code 326.5.
Is this the Irvine business license application?
No. Form 28-28 is the application for a bingo license only: it asks about the organization, officers, bingo property, operator and financial recorder. Other City of Irvine forms are listed on the City's forms directory at https://cityofirvine.gov/forms-directory.
What documents do I submit with the Bingo License Application?
Two items: a copy of the driver's license for each officer and operator listed, and proof of exemption under California Penal Code 326.5. The form says the application is processed only when these items are submitted with it.
How can I submit the Irvine bingo license application?
The form says electronically, in person or by mail. The mailing address is Irvine Police Department, Attn: Special Permits (G. Vicino), One Civic Center Plaza, Irvine, CA 92606. For electronic or in-person details, call 949-724-7000.
Is there a difference between a new permit and a renewal?
You use the same form for both. Under APPLICATION TYPE, select NEW PERMIT for a first application or BIANNUAL RENEWAL to renew. The form requires the same officer, property, operator and recorder information either way.
Who signs the Bingo License Application?
The officers signing the indemnification agreement. The form has signature and date lines for Officer 1 through Officer 4, and the signatures certify that the information is true and correct under penalty of perjury.
Can I fill out Form 28-28 online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service, not affiliated with the City of Irvine, and does not submit the form; you send it to the Irvine Police Department through the channels the form lists.
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