Form Center

2. Instructions

   In most cases, door-to-door solicitors in the City of Shaker Heights must be licensed and have their licenses readily available upon request. Please review the following information before completing the application. Please also take a moment to review Chapter 545 of the Ordinances of the City of Shaker Heights, which regulates solicitation activity in the City.

   
   

   1. After you submit this application, you will also be required to get an FBI and BCI background check (i.e. electronic fingerprinting) completed at your cost at the Shaker Heights Police Department.. Click here to learn more about fingerprinting at the Shaker Heights Police Department,

   
   

   2. After review of the application and receipt of the background results, a representative of the Shaker Heights Police Department will contact you to schedule a time for your photo identification card to be made. A $40 fee is due at that time.

   
   

   The Solicitor's License is valid for one year from date of issuance. For additional information, please call the Police Information Specialist at 216-491-1220.

   
   

4. Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Email Address*
15. Sex*
16. Height*
17. Weight*
19. U.S. Resident*
    -- Select One --YesNo
20. Driver's License No.*
21. State*
23. This Applicant hereby makes application for permission to solicit within the City of Shaker Heights, Ohio, representing:
25. Organization Name*
26. Organization Phone*
28. Organization Street Address*
29. City*
30. State*
32. Supervisor's Name*
33. Supervisor's Phone*
35. Purpose of Solicitation in Shaker Heights?*
37. Length of Solicitation in Shaker Heighs*
    Length of Solicitation in Shaker Heighs Start Date

    —

    Length of Solicitation in Shaker Heighs End Date
    Note: The Solicitor's License is good for one year from date of issuance.
39. Description of Car Used
41. Make*
42. Model*
44. Color*
45. Plate*
46. State*
50. Have you every been arrested for an offense other than traffic?*

    1. Yes
    2. No
52. If Yes, please explain.
54. Have you every been refused a Solicitor's License or had a license revoked by Shaker Heights or any other municipality?*

    1. Yes
    2. No
56. If Yes, please explain.
60. Consent to be Fingerprinted and Photographed*

    I hereby consent to be fingerprinted and photographed for the purpose of investigation and identification, relative to the issuance of this License, and solemnly swear that the answers given herein have been examined by me and to the best of my knowledge are true, correct and complete.

    1. Yes
    2. No
62. Click here to download instructions for electronic fingerprinting at the Shaker Heights Police Dept.
    
    Please note that not submitting to fingerprinting/photography will result in an automatic denial of your application.
64. Affirmation*

    By checking the "I agree" box below, you agree to the following statement:
    
    I affirm that the information provided in this application is true, correct and complete to the best of my knowledge, and I understand that any false information shall be considered sufficient cause to void this application and could result in criminal prosecution.

    1. I agree
68. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
70. Electronic Signature*
Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit

* indicates a required field