Welcome to O'Neill, Nebraska

CITY OF O’NEILL

HOME SOLICITOR’S LICENSE APPLICATION

COMPLETED APPLICATION MUST BE VERIFIED WITH DRIVER'S LICENSE AT THE CITY OFFICE BEFORE PERMIT WILL BE ISSUED. PERMIT FEE IS $10.00 PER DAY

Please print the following information:
 
TODAY'S DATE
NAME OF APPLICANT:
 
 

SOCIAL SECURITY NO.
 
 		 DRIVER'S LICENSE NO.
 

HOME ADDRESS
 
 		 HOME TELEPHONE
 

TEMPORARY ADDRESS & PHONE NO.
 
 		 EMPLOYER OF APPLICANT
 

EMPLOYER'S ADDRESS
 
 		 EMPLOYER'S TELEPHONE NO.
 

IMMEDIATE SUPERVISOR OF APPLICANT
 
 		 ADDRESS & PHONE NO. OF IMMEDIATE SUPERVISOR
 

DESCRIPTION OF PRODUCTS OR SERVICES TO BE SOLD
 
 		 DATES OF SOLICITATION
 

 

NOTICE TO APPLICANT

IF INCORRECT OR INACCURATE INFORMATION IS PROVIDED ABOVE, THE APPLICATION WILL BE DENIED AND YOU WILL BE PREVENTED FROM DIRECT SOLICITATION WITHIN THE CITY OF O’NEILL FOR A PERIOD OF ONE YEAR FROM THE DATE OF THIS APPLICATION. ALL INFORMATION PROVIDED BY YOU WILL BE VERIFIED BY THE CITY.

IF THE APPLICATION IS GRANTED, THE ORDINANCES OF THE CITY PROHIBIT YOU FROM ANY DIRECT SOLICITATION FROM THE HOURS OF 6:00 P.M. TO 8:00 A.M. ANY DIRECT SOLICITATION BY YOU DURING THE PROHIBITED HOURS WILL RESULT IN THE AUTOMATIC REVOCATION OF YOUR DIRECT SOLICITAION LICENSE AND SUBJECT YOU TO A FINE AS PROVIDED BY CITY ORDINANCES.

_________________________________________________

SIGNATURE OF APPLICANT