Territory License Program

License Owner Application Form

Apply for an exclusive territorial license

Applicant Type *

Entity/Company Name *

Primary Contact Name *

Email *

Phone *

Mailing Address *

Requested Territory

Territory Scope *

Country *

State/Province

County

City

Territory Description

Qualifications

Why are you the right person/organization for this territory? *

Relevant Experience *

Financial Capacity *

Timeline Readiness *

Current Team Size *

Planned # of Sentinels *

Exh C §3 seat rule: 2 per county for statewide and country licences, with no cap; 2 per county for a multi-county licence; for a single county, city or community, 2 or 1 per 100,000 residents (rounded up), whichever is higher; minimum 3 for every licence.

Application Fee & Background Check — $149.99

Submitting this application requires a $149.99 non-refundable application fee (covers background check). Not credited toward the license fee. The fee covers:

A comprehensive background check via Checkr, including criminal record search, identity verification, and court records
Administrative processing of your territorial license application

You will be redirected to a secure Stripe payment page after submitting your application. Your application will not be reviewed until payment is confirmed.