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PLATE NOTIFICATION FORM


NEW VEHICLE APPLICATION INSPECTION REQUEST

To receive an appointment to have your For-Hire Vehicle inspected you must complete the form found below. If you are affiliated to a Street Hail Livery (SHL) Permit, and you are ready to Hack Up your vehicle, notify the TLC that you have received your license plates using the form below. A Hack Up letter will be sent in the mail. Bring your vehicle with the Hack Up letter to our Inspection Facility at Woodside and the inspection will be completed there.

   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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