Get Wi Doa-11628 2018-2026

The WI DOA-11628 is the annual raffle renewal application and activity list required by the State of Wisconsin. This guide provides users with a structured approach to complete the form accurately and efficiently, ensuring compliance with the regulations.

Follow the steps to fill out the WI DOA-11628 online

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In Section A, you must provide the identity of your organization. Fill in the organization name, license number, mailing address, city, ZIP code, and county.
3. Indicate whether your organization wishes to renew the raffle license by checking 'Yes' or 'No'. If yes, include a $25 check made payable to the Dept. of Administration - Gaming.
4. Complete Section B for renewal details. Provide the name of the designated member responsible for raffle events, their signature, email address, and contact numbers.
5. Proceed to Section C to fill out the activity list. List all raffle dates and numbers of raffles held, including special details for any calendar raffles.
6. Ensure that all sections are reviewed for completeness. Sign the application and include the required payment.
7. Once completed, save the changes, download, print, or share the form as necessary.

Start filing your documents online today!