Drone Permit Application

Complete the form underneath to apply for a Drone Permit.
You can also get the form in person at the City of Deadwood Police Department.

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Contact Information

First Name: *

Last Name: *

Middle Name:

Address: *

Company or Business (If applicable):

City: *

State: *

Zip Code: *

Phone #: *

E-mail Address: *

Remote Pilot Certificate # *

Drone Ordinance *

I am aware of the City of Deadwood Drone Ordinance

I am not aware of the City of Deadwood Drone Ordinance

Drone Liability Insurance

Insurance Provider (name of business): *

Policy Number: *

Exp. Date: *

Drone Mission Information

Date: *

Duration: *

Location(s): *

Nature or Purpose: *

Electronic Signature

I certify under penalty of perjury that the statements I have made on this form are, to the best of my knowledge, true and correct. This agreement, agreements ancillary to this agreement, and related documents entered into in connection with this agreement are signed when a party’s signature is delivered by facsimile, e-mail, or other electronic medium. These signatures must be treated in all respects as having the same force and effect as original signatures.

Electronic Signature *

Police Department

Contact Information

City of Deadwood
Deadwood Police Department
100 Sherman Street
Deadwood, SD 57732

Phone: (605) 578-2623
Fax: (605) 578-1095

Office Hours:
8:00 a.m. to 5:00 p.m.
Monday - Friday

24 hour dispatch
(605) 578-2230

View Full Contact Details