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PLATE NOTIFICATION FORM


PLATE NOTIFICATION FORM

To receive an appointment to have your For-Hire Vehicle inspected you must complete the form found below. If your vehicle is affiliated to a Street Hail Livery (SHL) Permit you can go directly to Woodside once you send us the plate number. Vehicles affiliated to an SHL Permit do not need an appointment.

       All fields must be filled in order to complete your request.
BASE INFORMATION

Base/Authority Name: (This is not me.)

Base Lic #:  

Submitted by:

Contact #:
E-mail Address:  
 
  
Confirm E-mail Address:  
 
  
Note: You will be contacted to the email on file.
 
APPLICANT INFORMATION

Vehicle Owner’s Name:  
Last Name                                                      First Name

Application #:

Vin #:

Plate #:
 
 
       

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