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2. Canvassing Guidelines/Information
   This canvassing permit serves as a notification to the Village of Scarsdale of a group's intent to canvass. While certain groups are permitted to canvass based on constitutional rights, the Village respectfully requests that those groups submit a permit request so that we are made aware as to whom is walking door-to-door throughout the Village. This helps in the event a complaint or call of suspicious behavior is called in to Scarsdale Police.
8. Name of Group*
10. Purpose of Canvassing*
12. Contact Person (Person Submitting Form)*
13. Contact Email (Person Submitting Form)*
15. Contact Telephone (Person Submitting Form)*
16. Contact Address (Group)*
18. Name & Contact Number
    Please include a "Day of" Name & Contact Number if different from submitter
20. Date(s) and Time of Canvassing*
    Date(s) and Time of Canvassing Start Date

    Date(s) and Time of Canvassing Start Time

    —

    Date(s) and Time of Canvassing End Date

    Date(s) and Time of Canvassing End Time
21. Date2
    Date2 Start Date

    Date2 Start Time

    —

    Date2 End Date

    Date2 End Time
23. Event Location*
25. Activities Planned*
27. Special Requests/Comments
29. Names & Vehicles Canvassing in Scarsdale
    Please upload a list of the individuals and associated vehicle(s) information (if applicable) with the Canvassing for Scarsdale Police records. If no such list is ready at the time of application, or such a list is constantly "evolving", the list(s) should be emailed to clerk@scarsdale.com and faxed to Scarsdale Police at (914)-722-1214 prior to canvassing.
30. Other Supporting Documents
    Please feel free to upload any additional supporting documentation
36. cc: Police, Fire, Building, Public Works, Village Clerk, Village Manager's Office
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field