Automatic amusement device license fee form – Chicago, IL

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Automatic amusement device license fee form – Chicago, IL

The Automatic amusement device license fee form is the City of Chicago form, handled by the Office of the City Clerk, for totaling the fee on Type 2222 non-gambling devices. Fill it out online on FillingPDF and download or print the completed PDF.
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The Automatic amusement device license fee form is the City of Chicago form, cited to Chicago Municipal Code 4-156-150, on which a business totals the license fee for its Type 2222 non-gambling devices, such as pinball machines and jukeboxes. It is one of the Chicago business license documents handled by the Office of the City Clerk, which administers the sale and issuance of Automatic Amusement Device licenses. On this page you can fill out the form online on FillingPDF and download or print the completed PDF; the original PDF is published by the City Clerk, and the form and payment go to the Clerk's office.

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What is Automatic amusement device license fee form – Chicago, IL?

The automatic amusement device license fee form is the City of Chicago form, citing Chicago Municipal Code 4-156-150, on which a business lists its Type 2222 non-gambling devices and totals the license fee due, handled by the Office of the City Clerk.

The package has two parts. The License Fee Form carries the business information, a four-line fee calculation and an Owner/Officer Statement. The attached device sheet, titled Automatic Amusement Device 2026, Non-Gambling Format – Type 2222 (for example pinball machines and jukeboxes), records the device location and, for up to six devices per page, each device's manufacturer name, manufacturer serial number, name and the month and year placed in service. Line 1 of the fee calculation takes its count from that attached sheet.

The form defines an Automatic Amusement Device as any machine that, on the insertion of a coin, slug, token, card or similar object, or on any other payment method, the public generally may operate as a game, entertainment or amusement, whether or not it registers a score. The definition includes jukeboxes, marble machines, pinball machines, and movie and video booths or stands. Bingo devices are deemed gambling devices and are prohibited except as provided by state law.

The City Clerk's page explains that the Clerk issues official City of Chicago business licenses, but that other business license questions go to the Department of Business Affairs and Consumer Protection (BACP). Automatic Amusement Devices are the exception the Clerk administers itself.

Who needs to file Automatic amusement device license fee form – Chicago, IL?

A business that has Type 2222 Automatic Amusement Devices, the non-gambling format devices such as pinball machines and jukeboxes, completes this form to calculate the license fee for them. The form asks for the business's IRIS account number and for an owner or officer to sign the statement that the information is true and correct.

Points that decide whether this is the right form:

  • The device sheet is titled "For Non-Gambling Format Devices, Non-Gambling Format – Type 2222." The fee calculation on the form covers type 2222 devices only.
  • Bingo devices are deemed gambling devices and are prohibited except as provided by state law, so they are not something to list here.
  • A business with devices at more than one location, or with more than six devices, copies the device sheet for the additional locations and devices.
  • The Business Information at the top is preprinted. If it is wrong, the form directs you to contact BACP at 312-744-6249 rather than correct it on the form.

The form names the Owner/Officer as the person who signs; it does not describe a representative signing in their place.

When to file Automatic amusement device license fee form – Chicago, IL

The form prints a due date of February 15, 2026. Complete it and return it with your payment by that date.

The form warns that it must be filled out completely. If it is not, it will be returned to you and you may be assessed additional penalties. Allow time to gather each device's manufacturer name, serial number and the month and year it was placed in service before you start, since the device sheet asks for all of them.

The form sets no other filing window, and it does not state how long the Clerk takes to process it. For additional information, the form lists the Office of the City Clerk at 312-744-3647.

Documents you need

  • The attached device sheet, Automatic Amusement Device 2026, Non-Gambling Format – Type 2222, listing each device's manufacturer name, manufacturer serial number, device name and month and year placed in service; line 1 takes its count from it.
  • Additional copies of the device sheet for each additional location and for devices beyond the six listed on one page, as the form directs.
  • Payment of the total fee due from line 4, returned with the form; the form does not state accepted payment methods, so confirm them with the City Clerk.

How to fill out Automatic amusement device license fee form – Chicago, IL

  1. Check the business information

    Confirm the business name and address, business phone and IRIS Account Number printed at the top. To update or correct them, contact the Department of Business Affairs and Consumer Protection at 312-744-6249.

  2. Complete the device sheet header

    On the Automatic Amusement Device sheet, enter the Account Number and Business Name under Business Information. Print clearly in all CAPITAL letters.

  3. Enter the device location

    Under Device Location, enter the Street Number, Street Direction, Street Name, Street Type and Suite/Apt#. Copy the sheet for each additional location.

  4. List each device

    For devices 1 to 6, enter the Manufacturer Name, Manufacturer Serial Number, Name of Device and Month and Year Placed in Service. Copy the sheet if you have more devices.

  5. Count your devices on line 1

    On line 1, enter the total number of type 2222 Automatic Amusement Devices from the attached sheet.

  6. Figure the fee on lines 2 to 4

    Line 2 shows the license fee per type 2222 device. On line 3, multiply line 1 by line 2, then enter the total fee due on line 4.

  7. Complete the Owner/Officer Statement

    Enter the First Name, Middle Initial, Last Name and Title of the owner or officer, and a Description of Business.

  8. Sign and date the statement

    The owner or officer signs on the Signature (Required) line and enters the Date, affirming the information is true and correct. False statements are punishable by a fine under Mun. code 1-2-010.

  9. Review, download and assemble

    Check that every field is complete, then download or print the completed PDF from FillingPDF. Assemble it with the device sheet and payment, and submit it as described under How to submit.

How to submit Automatic amusement device license fee form – Chicago, IL

You can return the form and your payment by mail or in person. The form gives one address for both:

  • By mail: Office of the City Clerk - General Licensing, Room 107 - 121 N. LaSalle St. - Chicago, IL 60602.
  • In person: the same office, Room 107 at 121 N. LaSalle St., Chicago, IL 60602.

Send the completed License Fee Form together with the attached device sheet and your payment. A fee applies: line 2 prints the license fee for each type 2222 device and lines 3 and 4 produce the total due. The form does not say how to pay, so ask the Clerk's office before you send it. For the current amount and payment options, call 312-744-3647 (the number printed on the form). The City Clerk's page lists 312-74C-LERK (312-742-5375) for questions about Automatic Amusement Devices.

The form names no online submission channel. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Returning the form incomplete. The form states it will be sent back and you may be assessed additional penalties.
  • Leaving the Signature (Required) line blank in the Owner/Officer Statement.
  • Writing device information in lowercase or unclearly; the device sheet asks you to print clearly using all CAPITAL letters.
  • Using one device sheet for several locations or more than six devices instead of copying the sheet for the additional locations and devices.
  • Listing bingo devices, which the form deems gambling devices and prohibits except as provided by state law.
  • Entering a line 1 count that does not match the devices on the attached sheet, or miscalculating line 3, which is line 1 multiplied by line 2.
  • Correcting the preprinted Business Information on the form itself instead of contacting BACP at 312-744-6249.
  • Missing the February 15, 2026 due date printed on the form.

Frequently asked questions

What is the Chicago automatic amusement device license fee form?

It is the City of Chicago form, cited to Municipal Code 4-156-150, on which a business lists its Type 2222 non-gambling devices (such as pinball machines and jukeboxes) and totals the license fee due. It is returned to the Office of the City Clerk with payment.

Is this form the same as a Chicago business license application?

No. The City Clerk issues official business licenses, but other business license questions go to the Department of Business Affairs and Consumer Protection. This form covers only the license fee for Automatic Amusement Devices, which the Clerk administers itself.

When is the automatic amusement device license fee form due?

The form prints a due date of February 15, 2026. An incomplete form is returned to you, and you may be assessed additional penalties, so fill in every field before the due date.

Where do I send the automatic amusement device license fee form?

Mail it, or bring it in person, with your payment to the Office of the City Clerk - General Licensing, Room 107 - 121 N. LaSalle St. - Chicago, IL 60602. The form names no online submission channel.

What counts as an automatic amusement device in Chicago?

The form defines it as any machine the public may operate by inserting a coin, slug, token, card or similar object, or by another payment method, as a game, entertainment or amusement. Examples include jukeboxes, marble machines, pinball machines and movie or video booths. Bingo devices are prohibited except as state law provides.

What if I have more than six devices or more than one location?

Copy the device sheet. The form says to copy it for additional locations and devices, and each page lists up to six devices with manufacturer, serial number, name and month and year placed in service.

Who signs the license fee form?

An owner or officer of the business signs the Owner/Officer Statement on the line marked Signature (Required) and dates it. By signing, they affirm the information is true and correct; false statements are punishable by a fine under Mun. code 1-2-010.

Can I fill out this form online on FillingPDF?

Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is independent of the City of Chicago and does not file the form or accept payment; you submit it to the City Clerk by mail or in person.

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