Fillable GDPR Privacy notice Taxi or private hire drivers (Elmbridge Borough Council)

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GDPR Privacy notice Taxi or private hire drivers (Elmbridge Borough Council)

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Taxi or private hire driver’s licence application form
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
We require you to provide 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/
Taxi or private hire driver’s licence application form
Taxi or private hire driver’s licence
Town Police Clauses Act 1847
Local Government (Miscellaneous Provisions) Act 1976
You should use this form to apply for a new taxi or private hire driver’s licence or to
renew your existing driver’s licence.
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: Type of licence
Taxi driver
New
Renew
Private hire driver
New
Renew
Section 2: Renewing your licence
Only complete this section if you are renewing your current driver’s licence
Existing taxi driver number
Existing private hire driver number
Expiry date
Section 3: Period of your licence
We will normally grant a driver’s licence for three years unless there is an
appropriate reason to grant for a lesser period. If you would like us to
consider granting your licence for a period less than three years, please
explain why:
DRIVER_V1.0 June 2020 2 of 7
Taxi or private hire driver’s licence application form
Section 4: About you
Please complete all questions
Title
First name and other forenames
Last name
Preferred telephone number
Alternative telephone number
Email address
Home address
Post code
Date of birth
National insurance number
DVLA driver licence number
DVLA licence expiry date
DVLA access code
Have you ever been known by any other
name?
Yes No
If yes, what other name(s) were you
known by?
Date from:
Date to:
DRIVER_V1.0 June 2020 3 of 7
Taxi or private hire driver’s licence application form
Section 5: Convictions or cautions
Please read our Convictions Policy before you complete this section.
Have you ever been convicted of, or received a caution for
any offence? (including a motoring offence)
Yes
No
If yes, please give details:
Are you currently under investigation by the police or any
other authority? (including a motoring offence)
Yes
No
If yes, please give details:
Section 6: Medical information
Only complete this section if you are renewing your current driver’s licence
Have you consulted your doctor, other medical
professional, consultant, or optician for any reason since
your licence was last issued?
Yes
No
If yes, please give details:
Are you currently receiving any medical treatment or taking
any medication?
Yes
No
If yes, please give details:
DRIVER_V1.0 June 2020 4 of 7
Taxi or private hire driver’s licence application form
Section 7: About your work
Will a private hire operator be giving you work?
Yes
No
If yes, what is the name of the private
hire operator
Address of the private hire operator:
Post code
Do you hold, or have you ever held a taxi or private hire
driver’s licence issued by Elmbridge Borough Council or
any other Council or authority?
Yes
No
If yes, which Council(s) or authority?
Have you had any taxi or private hire driver’s licence
suspended; refused or revoked?
Yes
No
If yes, please give the:
(a) Name of the Council who issued the
licence:
(b) Reason for suspension, refusal, or
revocation:
DRIVER_V1.0 June 2020 5 of 7
Taxi or private hire driver’s licence application form
Section 8: Relevant documents
I attach/enclose copies of the following documents:
Data Barring Service (DBS) Enhanced Certificate
Evidence of my registration with the DBS Update Service
Overseas criminal record disclosure (if applicable)
Photograph
Completed medical assessment form
DVLA or acceptable driver’s licence
Practical driving assessment pass certificate
Evidence of my right to work in the UK
Child sexual exploitation training pass certificate
Knowledge test pass certificate
Evidence to satisfy the Council’s English Language Requirement
The correct fee
DRIVER_V1.0 June 2020 6 of 7
Taxi or private hire driver’s licence application form
Section 9: Declarations
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 driver 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 Policy Regarding the
Relevance of Convictions and Other Related Information.
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 licensed taxi or private hire driver.
I consent to Elmbridge Borough Council accessing and viewing my
status using the DBS update service.
I understand I may have to produce the original documents referred
to above before the Council will issue my taxi or private hire driver’s
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 follow
the guidance, and attach each of the relevant documents listed in section 8 above.
In the email subject please write “Application for a driver’s licence:” 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.
Signature
Date
DRIVER_V1.0 June 2020 7 of 7
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Completed 21 January 2021

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