House to House Collection Licence Form

To carry out a door to door charity collection, please complete our online application form.

If you are unable to use this form, please see our Contact Us (this link opens in a new window) for ways of getting in touch

Within three months of the collection a return form showing details of the monies collected must be completed and returned to the licensing authority.  Please fill in the following Charity Collections- Returns Form

Red asterisk denotes a required answer.

  • 1 Current Contact & Charity Details
  • 2 Nature of Collection
  • 3 Complete

Your Contact Details

Name
Address
Name and Address of person(s) who will be jointly responsible for the sale/collection (if applicable)
If so please provide details

Charity Details

Please provide the following details of the charity where possible;
  • Name of Charity
  • Address & Postcode
  • Contact Number
  • Email
Please provide details of the nature of the charity