Fillable form below. If your complaint involves a traffic (City of Burlington)

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Taxi Administration Office
Clerk/Treasurer's Office
149 Church St., Burlington, VT 05401
Phone (802)865-7011, Fax (802)865-7014
Taxi Complaint Form
If you have experienced a problem while using a taxi and would like to file a formal complaint, please fill out the
form below. If your complaint involves a traffic offense, please contact the Burlington Police Department at (802)
658-2700.
Fields marked with an * indicates required information. W e will contact you within 15 business days.
Personal Information:
First and Last Name:*_________________________________________________________________
Address: * _____________________ City, State, Zip*_____________________________________
Daytime P hone Number: * ______________________ Email:_______________________________
Incident Information:
W hen did the incident occur date/time?* ____________
Location of Incident: * ____________________ Location of Pick-Up:* __________________________
Name of the Taxi Company: ____________________ Dr iver ’ s N am e:____________ ________ ___
T axicab License P late Number (if known):___________________
T axica b N um ber :___________
Please explain the nature of the incident
If needed, would you be willing to attend a brief hearing regarding this incident?
What happened? Please check any of the appropriate boxes.
Driver operated vehicle in an unsafe
manner or refused to provide insurance
information after accident
Driver failed to take most direct route or take
passenger to requested destination
Driver overcharged, charged for service or
attendant animal, or charged additional fee for
wheelchair, crutches or other medical devices
Driver picked up another passenger
without consent
Driver refused to transport passenger
Driver discourteous or physically abusive
Driver was sleeping
Driver was using pornography
Driver smoked in vehicle/vehicle smells of
smoke
Driver using cell phone unless in the case
of emergency
Zone descriptions and rates not in vehicle or
visible
Fare receipt not provided after
request
Taxi meter ratesnot posted, or taximeter not
working, not used, not visible
No air conditioning or heating
Doors and/or windows did not operate
easily or close securely
Interior/trunk compartment of vehicle not
clean
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Completed 16 January 2021

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