Application for a house-to-house collection licence from South Derbyshire District Council

Step 2 of 3 Submit the application

Email address

Please provide your email address, so the licensing authority can let you know if your application has been successful or not.

Application form

Please attach the completed application form below.

Declaration

  • In addition to the application form, you must submit the following documentation: * literature about the charity benefiting from the collection * copy of published accounts for the last two years * copy of statement of accounts from the last three or four collections carried out (including collections held in other licensing authority areas) * declaration from the charity that they are happy with the remuneration from the collection * letter from the charity authorising the promoter to undertake a collection on their behalf, if the promoter is not an official of the charity * an agreement or contract details with any registered charity or individual benefiting from this collection. I understand that my application will not be determined until all of the supporting documents have been received. I understand that I will not be able to hold a house to house collection until I am in receipt of the permit authorising the collection.

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