Required fields are marked with asterisks (*)

Taxi Licence Application - Owner Form

This application is a:

New Application

Renewal

Owner/Applicant Contact Information

Owner Name:

Civic address:

Mailing address (if different than civic address:

Town (Mailing Address):

Postal Code:

Primary Phone #:

Secondary Phone #:

E-mail address:

Taxi Business Information

Company Name:

Civic address:

Business Mailing address (if different than civic address):

Town (Mailing Address):

Postal Code:

Insurance Company:

Insurance Policy # (All vehicles to have endorsement to carry passengers for compensation):

Attach a copy of your insurance policy. (Otherwise you will be required to provide a copy at the Municipal Office) (2 MB limit)

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

Are all vehicles registered to the same owner?

Yes

The total maximum size of all uploaded documents cannot exceed 10 MB.

Notice of Collection: Personal information contained on this form is collected pursuant to the Municipal Act, and will be used for the purpose of issuing a Taxi Business Licence. Enquiries regarding the collection of this information may be directed to the Office of the Clerk/Freedom of Information Coordinator, Municipality of Trent Hills, 66 Front Street South, Campbellford, ON K0L 1L0 705-653-1900

Land Acknowledgement

We recognize the traditional keepers of this land and, specifically our neighbours of the Alderville First Nation, with a formal territorial acknowledgement.

Welcome to the Gunshot Treaty Lands of 1788. It is on these lands and on the shores of the big lake, the Mississauga Anishinabeg met with the Crown to facilitate the opening of these lands for
settlement.

Let us be reminded of the responsibility we all have in making sure that we respect these lands and waters that give us life and sustain our livelihoods.