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License Application for Accessibile Taxicab, Taxicab and Limousine Drivers

What type of application?

New Application

Renewal Application

Application Type:

Taxicab

Limousine

Accessible

What company are you affiliated with?

I understand there is an annual fee for this license that can be found at www.brant.ca/fees. All licenses expire on March 31. By checking the below box, I agree to pay the fee with the application.

I agree

Applicant Information

What company are you affiliated with?

Applicant Name:

Street Address:

City/Town:

Province:

Postal Code:

Telephone Number:

Email:

Date of Birth:

Province of Ontario Driver's License Number:

Drivers License Class:

Please upload a copy of Ontario Issued Driver's License:

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Please upload proof of Canadian Citizenship, Permanent Resident Status or work permit issued by the Government of Canada

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Please upload a Police Records Check dated no later than 60 days prior to this date.

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Please upload a Ministry of Transportation driver's abstract dated no earlier than 60 days from time of application.

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If you are an accessible driver, please provide completion of sensitivity course.

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Applicant Acknowledgement and Signature

I understand and attest to the information provided on this application to be true and accurate. I understand that the County relies on this information and by signing this document, I solemnly declare that the information contained on this application is true, and I make this solemn declaration conscientiously believing it to be true, and knowing that it is the same force and effect as if made under oath.

Applicant Signature:

Clear

Today's Date:

Personal information collection is necessary for administration of County of Brant By-law #58-22 Vehicle for Hire By-law authorized by the Municipal Act, 2001, S.O. 2001, c. Personal information collected is managed under the provisions of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M. 56, as amended, and will be used for the purpose of processing your application.