Irvington, NY · Westchester County
Request to Be Placed on No Solicitation List
Irvington residents use this request to ask the Village to add their addresses to a list shared with organizations holding Village soliciting permits.
What this form is
Irvington residents use this request to ask to be added to a list of residents who do not want door-to-door solicitor visits. The Village provides the list to individuals, companies, or organizations that obtain a Village soliciting permit. The form asks for the resident’s name, address including house number, signature, and date, and warns that listed residents may still be legally solicited.
Who needs it
Irvington residents who want to request inclusion on the Village’s list for residents who do not want door-to-door solicitor visits should complete this form.
How to submit it
Return the completed form to the Village Clerk’s Office, Village of Irvington, 85 Main Street, Irvington, NY 10533, as directed on the form.
About notarization
This document is signed without a notary; the signer simply signs and dates the form.
How to submit this form
- 1
Download The Request
Download the No Solicitation List request PDF.
- 2
Complete The Form
Enter your name and address, including the house number.
- 3
Sign And Date
Sign and date the request; the form lists no attachments.
- 4
Return The Request
Return it to the Village Clerk’s Office at 85 Main Street, Irvington, NY 10533.
Frequently asked questions
- Do I need a notary for the No Solicitation List request?
- No. The form has a signature and date line but no notary block; the signer simply signs and dates it.
- How do I submit the No Solicitation List request?
- Return the completed form to the Village Clerk’s Office at 85 Main Street, Irvington, NY 10533, as directed on the document.
- What information does the request ask for?
- It asks for your name, address including the house number, signature, and date.
- Does joining the list prevent all solicitor visits?
- No. The form says solicitors still have the legal right to solicit from residents appearing on the list.
Need something notarized?
This Request to Be Placed on No Solicitation List doesn’t need a notary — but if you have another Irvington form that does, a commissioned online notary can help.