Application for Taxi Drivers License

Date of Application  
First Name  
Last Name  
Street  
City  
Phone  
Date of Birth  
Drivers License #  
Taxi Company  
Email Address
This is the address we will communicate the status of your application
 
Notes
Enter any information that may effect your application
 
I CERTIFY UNDER THE PENALTY OF PERJURY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION CONTAINED IN THIS APPLICATION IS CORRECT AND FURTHER CERTIFY THAT I AM NOT PRESENTLY LICENSED OR WILL NOT OBTAIN A LICENSE FROM ANOTHER CITY OR TOWN WHILE I AM LICENSED BY THE CITY OF NEWTON. I AUTHORIZE THE CITY OF NEWTON TO PERFORM A BACKGROUND CHECK AND TO USE MY REGISTRY PICTURE FOR THIS LICENSE.

                                                   
 

PAYMENT MUST BE MADE PRIOR TO THIS APPLICATION BEING PROCESSED
YOU WILL RECEIVE EMAIL NOTIFICATION REGARDING ON-LINE PAYMENT PROCESS
BRING YOUR LETTER OF EMPLOYMENT WHEN PICKING UP YOUR LICENSE

To Complete this application press the SUBMIT button