Taxicab and/or Limousine Owner Licence Application

Type	Initial Licence	Renewal Licence	Renewed Licence for each plate	Each driver
Taxicab Owner/Broker	$300.00	$100.00	$100.00	$25.00
Limousine Owner	$300.00	$100.00	$100.00	$25.00

Please note: a Criminal Record Check (including Vulnerable Sector) and Ontario Driver's Licence is required.

Applicant Name

Name of Business

Business Address

City

Business Telephone number

Business Cell Phone number

Business Email address

Applicant Date of Birth

Ontario Driver's Licence Number

Driver's Licence Class

Driver's licence expiry date

Number of plates requested

Number of drivers for broker

Declaration

I certify that the information contained in this application is true and that no false statements or information have been provided by me.

Date

Signature

Clear

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