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Information Classification: CONTROLLED Application for Hackney Carriage or Private Hire VEHICLE Licence Please ensure you have read the relevant sections of the hackney-carriage-private-hire- vehicle-operator-driver-licensing-policy.pdf (cornwall.gov.uk) before completing this form, in particular the vehicle specifications and licence conditions before presenting a vehicle for licensing. Please state which type of Vehicle Licence is being applied for: Private Hire Hackney Carriage If Hackney Carriage, please state which Taxi Zone: Caradon Carrick Kerrier North Cornwall Restormel Penwith Please state type of application: Grant Renewal Transfer (change of ownership) Change of vehicle Temporary (for no more than 2 months) Alteration to licence Please note there are Numerical Limitation Policies in respect of the Carrick, Restormel and Penwith Taxi Zones. This means the Council will not grant a Hackney Carriage vehicle licence within these Taxi zones if it is satisfied that there is no significant unmet demand for the services of an additional Hackney Carriage. If this application is for a grant in respect of any of these Taxi zones, please contact the Licensing Team prior to submitting an application. Please answer all questions in full and provide additional sheets if necessary APPLICANT’S DETAILS Title *Mr / Mrs / Miss / Ms / Other (*delete as appropriate) Forenames Surname Home Address (inc postcode) Email Address (we will use this address to correspond with you by email) 1 22.04.22 Information Classification: CONTROLLED Contact Phone Daytime Numbers Mobile BUSINESS DETAILS (if any) Name of Business Business Address (inc postcode) Business Email Business Telephone Area Code: Number: Number(s) Mobile: Are you applying as individual(s), Limited * Individual(s) / Limited Company / Partnership (*delete as Company or appropriate) Partnership If applying as Limited Company, state Registered Number If Private Hire, please Name of Operator: give details of Private Hire Operator Licence held or details of Address of Operator: operator who is taking bookings for the vehicle Operator Licence Expiry Date: If Hackney Carriage, please give details of the company name the vehicle will be used under Hackney Carriage Vehicle Licences issued by the Council require that the Hackney Carriage must operate in Cornwall and principally work from or within the Taxi zone that it has been licensed for. If the applicant/proprietor(s) are not based or residing in Cornwall, or the Taxi zone being applied for, please explain how the Hackney Carriage Vehicle is to be operated in order to comply with this requirement. 2 22.04.22 Information Classification: CONTROLLED VEHICLE DETAILS Plate/Licence Number (if renewal) Vehicle Registration number Make, Model and Colour Seating Capacity Number of passengers / front or rear facing (complete this section or attach diagram) Row 1 (excluding driver) Row 2 Row 3 Row 4 (if applicable) Is the vehicle able to carry YES / NO a wheelchair? Is the vehicle capable of Before answering this question, please refer to information and carrying a ‘reference measurements on the Council’s website: Wheelchair Accessible wheelchair’ with the Hackney Carriage and Private Hire Vehicles - Cornwall Council passenger remaining in the wheelchair if they YES / NO wish? If yes, please state which area/town you primarily operate as this will be included on the web-page: Has the vehicle been YES / NO modified? If yes, further information/ documents will need to be produced. PRIVATE HIRE VEHICLES - PLATE AND SIGNAGE EXEMPTION REQUEST Conditions attached to Private Hire vehicle licences require that the licence plate issued by the Council is displayed on the exterior of the vehicle, and for prescribed signage to be displayed on the vehicle. If you wish to apply for an exemption from either of these requirements then please complete the below with detailed reasons for your request. Please refer to information in the policy (section 3.27) for details of limitations in respect of exemptions and what Officers are able to approve. If an Officer is unable to approve an exemption request then it will be referred to the Council’s Miscellaneous Licensing Committee for determination. Please state if you wish to apply for an exemption for any of the following:- Plate display exemption YES / NO Signage display exemption YES / NO 3 22.04.22 Information Classification: CONTROLLED Please provide details of the type of work each exemption requested will relate if approved (continue on an additional sheet if necessary) Please provide reasons to support each exemption request (continue on an additional sheet if necessary) SUPPORTING DOCUMENTS The following should be produced to support the Please state reason if NOT provided application :- Vehicle Registration Document (or if recent new purchase ‘new keeper’ part along with evidence of purchase) Proof of adequate insurance MOT Certificate (if applicable) If Disabled Accessible vehicle, the manual / guide on the safe loading / unloading of wheelchair passengers must be produced Any additional documentation in respect of modifications or conversions. Completed proprietorship form (as detailed at the end of this application form) If transfer application, written consent from existing vehicle proprietor/s to agree to transfer, in accordance with Section 49 of the Local Government (Miscellaneous Provisions) Act 1976 is required. DBS Basic Disclosure for proprietors / directors / partners (if applicants are not licensed Drivers) 4 22.04.22
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