Licensing Application Form

If you are interested in applying for a Solicitor, Transient Dealer, Vendor or Canvasser License to operate within the Municipal Boundary of East Palestine, Ohio, please complete the following application. Completed forms are forwarded to the Housing, Zoning and Building Department where they are reviewed. Applicants will be contacted by a representative who will issue a license to operate, deny the application or request further details.

Licensing Application Form

Type of Application(Required)

Name(Required)

Photocopy of Driver's License(Required)

Max. file size: 128 MB.

Date of Birth(Required)

Home Address of Applicant(Required)

Street Address Address Line 2 City State ZIP Code

Name of Company Represented(Required)

Company Address(Required)

Street Address Address Line 2 City State ZIP Code

Company Phone(Required)

Company Email(Required)

Name of Immediate Supervisor(Required)

Phone of Immediate Supervisor(Required)

Length of Service with Employer(Required)

List All Places of Residence and Employers in the Last 12 Months(Required)

List Other Municipalities Where You Have Conducted Business(Required)

Have You Ever Been Convicted of a Crime, and If So, What Was the Nature of Said Crime?(Required)

Primary Motor Vehicle Information

Make(Required)

Model(Required)

Year(Required)

Current Registration Number(Required)

Current License Plate Number(Required)

Description of Goods and Services Being Offered(Required)

Attach Documents

Max. file size: 128 MB.