Fillable Taxi or private hire licence Change of name (Elmbridge Borough Council)

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Taxi or private hire licence Change of name (Elmbridge Borough Council)

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The Taxi or private hire licence Change of name (Elmbridge Borough Council) form is 5 pages long and contains:

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Country of origin: UK
File type: PDF

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Taxi or private hire licence
Change of name or address 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 licence change of name or address form
Taxi or private hire licence
Change of name or address form
Town Police Clauses Act 1847
Local Government (Miscellaneous Provisions) Act 1976
You should use this form to tell us that you have changed your name or address.
Please read the guidance on our website elmbridge.gov.uk/licensing before you
complete this form. Please note, if you do not properly complete the notice, we may
reject it.
Section 1: Type of licence
Taxi or private hire driver
HCD
PHD
Taxi or private hire vehicle
HCV
PHV
Private hire operator
PHO
Section 2: Type of change
Only complete this section if you are renewing your current driver’s licence
Change of personal name or address (go to section 3)
Change of private hire operator’s name or address (go to section 5)
Section 3: About you
Please complete all questions
Name on existing licence
Title
First name and other forenames
GENERIC_CHANGE_NAME_ADDRESS_V1.0 June 2020 2 of 5
Taxi or private hire licence change of name or address form
Last name
Address on existing licence
Home address
Post code
Section 4: Your new name and/or address
Please complete all questions
Your new name
Title
First name and other forenames
Last name
Date you changed your name
Your new address
Home address
Post code
Date you changed your address
Go to section 7
GENERIC_CHANGE_NAME_ADDRESS_V1.0 June 2020 3 of 5
Taxi or private hire licence change of name or address form
Section 5: About you (private hire operator)
Please complete all questions
Name on existing licence
Business or partnership name:
Address on existing licence
Home address
Post code
Section 6: Your new name and/or address
Please complete all questions
Your new business name
New business or partnership name:
Date you changed your name
Your new address
Home address
Post code
Date you changed your address
Go to section 7
GENERIC_CHANGE_NAME_ADDRESS_V1.0 June 2020 4 of 5
Taxi or private hire licence change of name or address form
Section 7: Relevant documents
I attach/enclose copies of the following documents:
My existing taxi or private hire licence
Evidence of change of name and/or address
The correct fee
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 understand I may have to produce the original documents referred
to above before the Council will issue my taxi or private hire 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 the documents listed in section 7 above. In the subject please write “Change
of name or address:” 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
GENERIC_CHANGE_NAME_ADDRESS_V1.0 June 2020 5 of 5
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Taxi or private hire licence Change of name (Elmbridge Borough Council)

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Completed 21 January 2021

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