Fillable GDPR Privacy notice Application to replace a taxi (Elmbridge Borough Council)

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GDPR Privacy notice Application to replace a taxi (Elmbridge Borough Council)

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VEHICLE_REPLACE_V1.0 June 2020 Page 1 of 6
Application to replace a taxi or private hire vehicle
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 to replace a taxi or private hire vehicle
VEHICLE_REPLACE_V1.0 June 2020 Page 2 of 6
Application to replace a taxi or private hire vehicle
You should use this form to replace an existing taxi or private hire vehicle with a
different vehicle.
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 licence holder)
Title
First name and other forenames
Last name
OR
Name of business or Ltd Company
Company number (if Ltd Company)
OR
Partnership name
Section 2: The existing vehicle
Registration number
Plate number
HCV
Plate number
PHV
Application to replace a taxi or private hire vehicle
VEHICLE_REPLACE_V1.0 June 2020 Page 3 of 6
Section 3: The replacement vehicle
Vehicle registration number
Date first registered
Make of vehicle
Model of vehicle
Colour of vehicle
Fuel type
Number of passenger seats (excluding the driver)
Does the vehicle have a sun roof
Yes
No
Does the vehicle have a dark tint applied to the
rear and/or rear side windows of the vehicle?
Yes
No
If you answered yes, what percentage of light is
transmitted through the windows?
Is the vehicle licensed as a taxi or private hire
vehicle with another authority?
Yes
No
If you answered yes
a) Which authority is the vehicle licensed with?
b) Licence plate number
c) Date licence expires:
Please give the full address where the vehicle will
be kept when not in use as a taxi or private hire
vehicle
Is the vehicle wheelchair accessible?
Yes
No
If yes:
Is it a purpose-built wheelchair accessible vehicle?
Yes
No
Is it converted to be wheelchair accessible?
Yes
No
Application to replace a taxi or private hire vehicle
VEHICLE_REPLACE_V1.0 June 2020 Page 4 of 6
Section 4: Ownership of the vehicle
Will you be the sole owner of the vehicle?
Yes
No
If you answered no, please give the name(s) of the
vehicle owner
Owner 1
Owner 2
Owner 3
Section 5: Other licence applications
Have any of the individuals listed in Boxes A to E
above, ever had any taxi or private hire licence
suspended, refused, or revoked?
Yes
No
If you answered yes, please give the:
(a) name of the Council that issued the licence
(b) reason for suspension, refusal, or revocation
Section 6: Convictions or cautions
Please read our Convictions Policy before you complete this section.
Has any individual listed in Boxes A to E above,
ever been convicted, or received a caution for any
offence (including motoring offences)?
Yes
No
If yes, please give details:
Is any individual listed in Boxes A to E above
currently the subject of any investigation by the
police or any other authority (including motoring
offences)?
Yes
No
Application to replace a taxi or private hire vehicle
VEHICLE_REPLACE_V1.0 June 2020 Page 5 of 6
If yes, please give details:
Section 7: Relevant documents
I attach copies of the following documents in respect of all individuals listed
in Boxes A to E above
Data Barring Service (DBS) Basic Certificate
Evidence of my registration with the DBS Update Service
Overseas criminal record disclosure (if applicable)
Photograph(s)
Evidence of right to work in the UK
Child sexual exploitation training pass certificate
The correct fee
Certificate of motor insurance
Vehicle registration document
Letter of consent (if applicable)
MOT certificate
Individual Vehicle Approval (IVA) certificate (if applicable)
DVSA IVA Certificate M1 (if applicable)
The correct fee
Application to replace a taxi or private hire vehicle
VEHICLE_REPLACE_V1.0 June 2020 Page 6 of 6
Section 8: Declarations
All persons listed in boxes A to E must sign this form
Under Section 57 Local Government (Miscellaneous Provisions) Act 1976 It
is a criminal offence to make a false statement or withhold information to
obtain a taxi or private hire vehicle licence. If convicted, you may be liable to
a fine up to level 3 on the standard scale.
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 confirm that I have read the Elmbridge Borough Council’s Taxi and
Private Hire Licensing Policy and its Convictions Policy.
I confirm that I have a right to work in the UK. I understand that the
Council will check my immigration status and will refuse my
application if I am not legally present in the UK or if I am not allowed
to work in the UK as a taxi or private hire vehicle proprietor.
I understand I may have to produce the original documents referred
to above before the Council will my issue my taxi or private hire
vehicle licence.
I declare that the information contained in this form is correct
to the best of my knowledge and belief.
Please email your completed application form to licensing@elmbridge.gov.uk and
attach each of the documents listed in section 8 above. In the subject please write
“Application to change vehicle:” followed by your name. We will only accept one file
for each document. Please do not send the documents as one large file, as
individual pages, or in separate emails.
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GDPR Privacy notice Application to replace a taxi (Elmbridge Borough Council)

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Completed 21 January 2021

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