Solicitor's Permit Application - New Albany, Ohio

Police Department
Applicatio
on for Peddler’s/Solicitor’s License
Pleasee select one. Price is per Solicitor.
Exact Cash
or Check
only. Credit and Debit Cards are not Accepted.
$10.00 Per Day $25.00 Per Week $50.000 Per Month
$250.00 Per
Year
Permit will be issued at
least 2 business days after application is approved.
You Must Carry License at all times.
It is illegal to solicit to any
premise that has a “NO SOLICITATION” sign posted.
Business Information:
Date:
Requestedd Start Date: :
Company Name:
Complete Address:
Phone Number:
Fax:
Website Address:
Contact Name:
Title:
Contact Phone:
Contact Email:
Describe the Nature of Goods or Services Sold/Purpose of Solicitation:
Has the firm applied for a New Albany Solicitors permit before?
If yes, when?
Has the firm solicited in any other Franklin County municipalities in which a
solicitor’s license was required?
If yes, where?
Yes
Yes
No
No
PD-08-143
Revised May 23, 2012
1

Vehicles Used in Solicitation:
Make:
Color:
Model:
License Plate Number:
Year:
State:
Make:
Color:
Model:
License Plate Number:
Year:
State:
Make:
Color:
Model:
License Plate Number:
Year:
State:
Make:
Color:
Model:
License Plate Number:
Year:
State:
Make:
Color:
Model:
License Plate Number:
Year:
State:
Police Department Use Only
Company / Solicitor Findings
AG
Record:
BBB Rating:
Individual Solicitor Records Checked:
Additional Notes:
Police Clerk:
Chief of Police:
Approved by Chief of
Police:
Recommendation:
Date:
Yes No
PD-08-143
Revised May 23, 2012
2

Fulll Name:
Complete Address:
Individual Solicitor’s Information
(to
be completed by individual solicitor)
Phone:
SSN:
DOB:
Race:
Height:
Weight:
Eye:
Hair:
Length of employment with
company:
List all employment within the past year (company name, city and state):
List all residences within the past year (address, city, state and
zip):
City
List any
arrests, other than traffic violations:
State
Charge
Name
Phone
References:
Address
Have you applied for a New
Albany Solicitors permit before?
If yes, when?
Do you hold a valid driver’s
license?
If yes, what state and OL number
Yes
Yes
No
No
11a Check
FC County
Additional Information
Police Department Usee Only
Individual Solicitor Findings:
PD-08-143
Revised May 23, 2012
3