Derby, KS · Sedgwick County
Canvasser, Solicitor, or Peddler Application
This two-page application is for people seeking a City of Derby license to canvass, solicit, or peddle, and includes an authorization for the Derby Police Department to review personal records.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to apply to the City of Derby for a canvasser, solicitor, or peddler license. It collects applicant, business, vehicle, and character-reference information, asks about prior convictions, and includes an authorization for the Derby Police Department to review personal records. The form lists fees by license term, requires approved photo identification, and notes that background checks may take up to 30 days.
Who needs it
Anyone applying to the City of Derby for a canvasser, solicitor, or peddler license must complete the application and personal-information release.
Why it needs a notary
The personal-information release has a Kansas state jurat; the applicant signs and swears to the release before the notary, who completes the commission-expiration field.
How to get this notarized
- 1
Download the Application
Get the Canvasser, Solicitor, or Peddler Application from the City of Derby.
- 2
Complete the Form
Fill in the application and personal-information release, but do not sign the release yet.
- 3
Book an Online Notary
Schedule a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign and swear to the personal-information release during your online notary session.
- 5
Submit to the City
Submit the completed application and notarized release to the City of Derby.
Preview the form
The blank PDF straight from Derby. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize the personal-information release?
- Complete the release, but wait to sign until you meet with a commissioned online notary. The notary administers the oath and completes the jurat.
- Do I need to sign the release in front of a notary?
- Yes. The release includes a subscribed-and-sworn jurat, so sign and swear to it before the notary, who completes the notarial certificate.
- Can I use an online notary for this Kansas form?
- Kansas law authorizes remote notarization by its notaries under K.S.A. 53-5a15 and recognizes certain acts by authorized officers of another state under K.S.A. 53-5a11. Confirm the City’s acceptance if unsure.
- What else does the license application require?
- The form says applicants need a current driver’s license or alternate approved photo identification and must complete the personal-information release. Background checks may take up to 30 days.