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Vehicle For Hire Driver- New and Renewal Application

Fee for application is $75 for a one year licence.

Applicant Information

First Name

Last name

Email Address:

Applicant Phone Number

Provincial Driver's Licence Number

Applicant Address

Address

Unit Number

City

Province

Postal Code

Applicant Information

The type of application I am submitting is:

New Licence

Renewal of Licence

Please choose what applies to you (you can choose more than one)

Limousine Driver

Designated Driver

Taxicab Driver

Please upload the following documents for your business licence application.

Proof of Identity - coloured copy of your drivers licence

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Criminal Record and Judicial Matters Check (dated within 30 days of this application)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Drivers Abstract (dated within 90 days of this application)

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

I declare that:

I acknowledge that if I fail to comply with the Town’s Vehicle-for-Hire by-law and/or with any conditions/standards as approved by the Town of Cobourg (“the Town”), any licence granted may be revoked. Failure to comply with the Town’s Vehicle-for-Hire by-law and/or with any conditions/standards as approved by the Town may also result in Administrative Monetary Penalties and/or fines pursuant to the Provincial Offences Act, 1990.

All of the information in this application is true and complete, and that I have read and understand the conditions of this application;

This form may contain personal information as defined under the Municipal Freedom of Information and Protection of Privacy Act. This information is collected under the legal authority of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used and maintained by the Town of Cobourg to process the Vehicle for Hire Licensed Driver Application. Questions regarding this collection may be directed to the Town’s Freedom of Information Access and Privacy Co-ordinator at the Town of Cobourg, 55 King Street West, Cobourg, Ontario, K9A 2M2, 905-372-4301 or khearst@cobourg.ca.

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Vehicle For Hire Driver- New and Renewal Application

Applicant Information

Applicant Address

Applicant Information

Please upload the following documents for your business licence application.

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