Wichita, KS · Sedgwick County
Correctional Placement Residence Application
This application is for owners or operators seeking a new, expanded, or renewed Wichita license for a correctional placement residence, and includes a sworn statement that the applicant signs before a notary.
- 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
Wichita uses this application to review correctional placement residence facilities for licensing, including site and ownership details, criminal-record-related questions, and required program information. Applicants submit it with a $150 licensing fee and supporting documents; the city also requires applicable zoning, inspection, and program-audit reviews before final approval. The form covers new, existing, and expanded facilities, and the instructions describe annual license renewals.
Who needs it
Owners or operators applying for a new, expanded, or renewed Wichita correctional placement residence license need to complete the application and provide the required supporting materials.
Why it needs a notary
The form includes a sworn statement followed by a Notary Public jurat and commission-expiration line; the named applicant signs and swears to the statement before the notary.
How to get this notarized
- 1
Download the Application
Get the Correctional Placement Residence Application from the City of Wichita.
- 2
Complete the Form
Fill in the site, owner, operator, and manager information, answer the questions, and prepare the listed attachments.
- 3
Book an Online Notary
Schedule a commissioned online notary for the applicant’s sworn statement.
- 4
Sign on Video
Sign and swear to the statement during the online notary session, following the notary’s instructions.
- 5
Submit to the City
Submit the completed application, fee, and required materials to the Wichita City Treasurer’s Office as directed by the form.
Preview the form
The blank PDF straight from Wichita. 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 complete the notarized part of this application?
- Complete the application, then sign and swear to the statement before a commissioned online notary. Follow the notary’s instructions for the jurat and leave the notary section for them to complete.
- Do I need to notarize the entire application?
- The form identifies a sworn statement and Notary Public block in Part 6. The named applicant must sign and swear to that statement before a notary; the form does not indicate that every page requires notarization.
- Can I use an online notary for this Wichita application?
- Kansas authorizes remote online notarization by its notaries under K.S.A. 53-5a15, and K.S.A. 53-5a11 recognizes acts by authorized officers of another state. Check that the receiving city will accept your notarized document; confirm with the city if unsure.
- What supporting materials does the application request?
- The form calls for a written program description and a description of populations served. Before approval, it also lists proof of insurance and approval of a program audit, along with required reviews and attachments.