Driver Renewal Application Form - Westchester County Taxi & Limousine Commission, Department Of Public Safet
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1
2WESTCHESTER COUNTY TAXI & LIMOUSINE COMMISSION
Department of Public Safety • 112 E. Post Rd White Plains, New York 10601 (914) 995-8400
Service Window Hours Monday through Friday 9:00 am to 1:00 pm
DRIVER RENEWAL APPLICATION
Supplying false information on this document may result in criminal charges being filed, Persistent Violator points being assessed, additional
fees, fines, and/or denial of your application.
OFFICE USE ONLY
Date Rec:
DP #
Deposit #
Applicant Fee $
MO
CK
CC
Late Fee $
REC’D BY:
RENEWAL APPLICATION MUST BE RECEIVED 30 DAYS BEFORE CURRENT EXPIRATION DATE TO AVOID A
LATE FEE. YOU CANNOT USE THIS FORM ONCE A DRIVER PERMIT HAS EXPIRED
PLEASE TYPE OR PRINT CLEARLY
Name:_____________________________________________________________________________________________________
LAST
FIRST
MIDDLE
Date of Birth _______/______/_____ Motorist ID Number: ___________________ Social Security Number: _____/____/______
Month
Day
Year
Mailing Address _______________________________________________/___________________________________________
Street
Apt/ Unit #
City
State
Zip
Telephone Numbers: Home (____)___________________ Work (____)__________________ Cell (_____)_________________
Base Station Name ______________________________
Address___________________________________________________
Street
City
State
Zip
ITEM
INSTRUCTIONS
Applications must be received 30 days prior to current expiration date to avoid late fee.
Renewal applications
NO APPLICATIONS FOR RENEWAL WILL BE ACCEPTED AFTER EXPIRATION DATE.
Two Forms of Identification
A valid New York State, Class A, B, C, or E driver’s license, or equivalent from home state* with
are required: You may
your correct name and address, and your most recent WCTLC For-Hire Vehicle Driver Permit.
submit copies of ID through
*Acceptable equivalent driver’s license from; NJ, CT, or PA only. Out-of-state license requires
mail for renewal.
certified DMV driver abstract from the state that issued your license.
Social Security Card /
Supply a copy of your Social Security Card. If Social Security Card is endorsed “VALID FOR WORK
Permanent Resident Card
ONLY WITH DHS (INS) AUTHORIZATION” supply copy of Worker Permit Card.
Fees: Application & Drug
Money order or business check payable to WCTLC. Credit Card in office only (plus service fee).
Testing $135.00
Fees: Replacement $75.00
Replacement of your driver permit due to it being lost, stolen or damaged, or destroyed.
Late Fee $75.00
All permit applications must be submitted at least thirty (30) days before the expiration date to
avoid a late fee. No renewal application will be accepted after the expiration date.
Outstanding Fees and/or
All outstanding fees and/or fines owed to WCTLC must be paid before an application will be
Fines
approved. Personal checks will not be accepted.
Defensive Driving Course
Copy of your Certificate of Completion from a NY State approved defensive driving course
(https://transact.dmv.ny.gov/pirp/) showing that you completed the course within 33 months.
Self-addressed, Stamped
When renewing by mail, supply TWO envelopes no larger than 9 ½” x 4. ONE envelope when
Return Envelope(s)
renewing in person. Proper first class postage must be affixed to the envelope. Print your name
and address in the center of the envelope. If your application is approved by the WCTLC this
envelope will be used to mail your WCTLC permit.
WCPD 373 (Rev 09/2015)
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