Pedicab Reinspection Form - Nyc Department Of Consumer Affairs

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OFFICE USE ONLY
License Number: _______________
CAMIS Number: _______________
42 Broadway
PEDICAB REINSPECTION FORM
5th Floor
New York, NY 10004
Pedicab Business Name: ____________________________________________
Dial 311
(212-NEW-YORK)
DCA Business License Number: ______________________________________
nyc.gov/consumers
Business Address: _________________________________________________
Contact Name: ____________________________________________________
Contact’s Telephone Number: ________________________________________
Contact’s E-mail Address: ___________________________________________
Important:
To submit this form, you must first pay the inspection fee of $55 for each pedicab that
requires inspection. (The fee is charged if you fail to appear for a scheduled inspection
or if your pedicab(s) fail inspection.) Fee must be paid by credit card, money order, or
check. Cards accepted include Visa, MasterCard, American Express, and Discover
Card. Checks or money orders must be payable to NYC Department of Consumer
Affairs.
If your pedicab(s) failed inspection, you must also submit a copy of the Certificate of
Inspection (received at the inspection site) for each pedicab listed on this form and the
inspection fee(s).
Instructions
List below the Pedicab Identifying Number (PID) and DCA Registration Plate Number
of each pedicab that requires inspection. Note: Each pedicab you list must have a
unique and permanently affixed PID. Do not list any pedicabs on this form that were
not listed on the ROSTER OF PEDICABS originally submitted to DCA.
DCA will contact you to schedule inspection of your pedicab(s) at a designated location.
You must pass the inspection before you can operate the pedicab(s).
Note:
Pedicab Business applicants can apply for no more than 30 pedicabs.
If you bring more than 10 pedicabs for inspection, please arrive with additional staff
from your business to help speed processing.
Roster on next page.

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