Fillable Application form to replace lost taxi or private (Elmbridge Borough Council)

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Application form to replace lost taxi or private (Elmbridge Borough Council)

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The Application form to replace lost taxi or private (Elmbridge Borough Council) form is 5 pages long and contains:

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  • 35 other fields

Country of origin: UK
File type: PDF

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Application form to replace lost taxi or
private hire licence, plate, or badge
GDPR Privacy notice
Who we are and what we do
Elmbridge Borough Council is the ‘Controller’ of any personal data that you provide
to us. We collect, process, and store your personal data in relation to your
application for a licence.
What we need to process your application
You must supply personal data including your name, address and contact details.
Why we need it
We use your personal and sensitive data to enable us to process your application. If
you do not provide this information we cannot process your application.
What we do with it
We will store your personal data in our licensing database and it will be accessed by
authorised Council employees. We will use your data to enable us to check
compliance with your licence, to carry out our enforcement duties and to contact you
about licensing matters. We may share your personal data with the other public
bodies and enforcement authorities for the purposes of investigation, to protect
public funds and prevent and detect fraud. We may also share your personal data
with insurance companies and the DVLA.
How long we keep it
If we do not grant your licence, we will keep your data for six years from the date of
the final decision on your application. If we grant your licence, we will keep your
data for the period of the licence and a further six years.
What are your rights?
Please refer to our corporate privacy policy at elmbridge.gov.uk/privacy-notices/
Application form to replace lost taxi or private hire licence, plate, or badge
Application form to replace lost taxi or
private hire licence, plate, or badge
You should use this form to tell us that you have lost your taxi or private hire
licence, badge, or plate, and to apply for a replacement.
Please read the guidance on our website elmbridge.gov.uk/licensing before you
complete this form. Please note, if you do not properly complete all our application
requirements, we will reject your application.
Section 1: About you (the applicant)
An individual
(Go to Box A)
A partnership
(Go to Box B)
A business or Ltd Company
(Go to Box C)
Box A: Individual applicant
Please complete all questions
Title
First name and other forenames
Last name
Preferred telephone number
Alternative telephone number
Email address
Home address
Post code
Go to Section 2
GENERIC_LOST_LICENCE_V1.0 July 2020 2 of 5
Application form to replace lost taxi or private hire licence, plate, or badge
Box B: Partnership
Please complete all questions
Name of partnership
Preferred telephone number
Alternative telephone number
Email address
Company registered address
Post code
Go to Section 2
Box C: Business or Limited Company
Please complete all questions
Name of business or Ltd Company
Company number (if Ltd Company)
Preferred telephone number
Alternative telephone number
Email address
Company registered address
Post code
Go to Section 2
GENERIC_LOST_LICENCE_V1.0 July 2020 3 of 5
Application form to replace lost taxi or private hire licence, plate, or badge
Section 2: About your licence?
Taxi or private hire driver
HCD
PHD
Taxi or private hire vehicle
HCV
PHD
Private hire operator
PHO
Section 3: About the lost or stolen item
Driver’s badge
External plate
Paper licence
Internal plate
How many internal plates
Section 4: Relevant documents
I attach copies of the following documents (please tick)
The correct fee
GENERIC_LOST_LICENCE_V1.0 July 2020 4 of 5
Application form to replace lost taxi or private hire licence, plate, or badge
Section 10: Declarations
I confirm that I have read the privacy notice on the first page of this
application form and I understand my rights in respect of that data
and consent to how the Council will process my personal data.
I declare that the information contained in this form is correct
to the best of my knowledge and belief.
Signature
Name
Date
Please email your completed application form to licensing@elmbridge.gov.uk. In
the subject please write “Replacement licence:” followed by your name.
GENERIC_LOST_LICENCE_V1.0 July 2020 5 of 5
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Application form to replace lost taxi or private (Elmbridge Borough Council)

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Completed 21 January 2021

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