Street collections licence

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Verification

Applicant details

Title

Forename

Middle name(s)

Surname

Correspondence details

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Contact number

Additional contact number

Charity details

Charity name

Correspondence details

Property name or number

Street

Locality (for example, Armthorpe)

Town

Postcode

Contact number

Collection details

Area that the collection is proposed to take place

Collection date (first choice)

Collection date (second choice)

Collection date (third choice)

Approximately, how many collectors will there be?

Will remuneration (wages) be paid from the proceeds of the collection to the collectors?

What percentage of the proceeds of the collection is to be paid to the collectors?

Is an application being made to any other local authority to hold a street collection?

Name of authority

Collection date(s)

Has your charity held a street collection previously in the same place as the one for which this application is now being made?

Please state the date(s) on which this collection was made

Council's permit number (e.g. LN/123456789)

Have you, or anyone associated with the promotion of the collection ever had a licence or order under the Act refused or revoked?

If so, please advise?

Upload

Please attach the following documents in order to support your application:

A leaflet about the charity you are collecting for, a screenshot of the charity homepage or use the text box to provide a weblink to the charity homepage
A letter of authority from the charity which states you have been authorised to do the charity work

Upload instructions

You are only able to upload one document per upload field
Acceptable file types are doc, docx, xlsx, xls, txt, pdf, html, gif, svg, msg, png, tif, tiff, jpg and jpeg.
Please do not use special characters in file name of the document you upload

Please attach the letter of authority here

Please attach the charity leaflet here

If you are not able to attach a charity leaflet, please use the text box to provide a weblink to the charity homepage

Final Declaration

I hereby apply for a permit to conduct the street collection in accordance with the Council's street collection regulations with which I am familiar
I hereby undertake to submit a statement showing the result of such street collection to the City of Doncaster Council within one month of the collection (Please use "Street collections statement of returns" form for this purpose)

Tick to confirm