Solicitation Form

Please fill out the form below. The completed form needs to be signed and brought to station along with the completed PATCH report.  PATCH reports are valid for 10 days from issue.  Applicant must appear in person to have their ID badge prepared.  Please call to make an appointment during our normal business hours. 

NOTE: Applicants MUST complete the Pennsylvania Access To Criminal History (PATCH) report PRIOR to submitting the Solicitation Form and appearing at the NLCRPD. Go to to complete the PATCH Report


$5.00 for each ID badge for the first thirty (30) days of issue, $2.00 for each subsequent ID badge.

PDF icon Solicitors and Peddlers Information Report