Lottery/Raffle Forms

Printing Instructions

Most of these forms are available in a "Fill-able" format, meaning you can view, complete, and print the form on your computer. These forms use the features provided with Adobe Acrobat. Currently, there is no validation or verification of the information you enter, and you are responsible for entering and checking all required information. Instructions may require some information to be handwritten on the form (signatures, for example).

Note: The Acrobat Reader does not allow you to save your completed forms. You should print two copies --  one to mail, and one to keep for your records.

Applications

Form Title Form # Document
Checklist (Make Sure Your Application is Complete)  

Application Checklist

Nebraska Application for Bingo, Lottery, or Lottery by Pickle Card 50

Bingo, Lottery, Raffle, or Pickle Card Application

Nebraska Application for Utilization of Funds Member 50H

Utilization of Funds Member Application

Lottery and Raffle Supplemental Questionnaire  

Supplemental Questionnaire Submit with Form 50 Application

Reporting Forms

Form Title Form # Document
Nebraska Lottery/Raffle Tax Return 51

Lottery/Raffle Tax Return

Nebraska Lottery/Raffle Annual Report - View and Print Only 35B

Lottery/Raffle Annual Report

Miscellaneous Forms

Form Title Form # Document
Request for Abatement of Penalty 21

Abatement of Penalty Request Form 

Power of Attorney 33

Power of Attorney Application