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PLATE NOTIFICATION FORM


PLATE NOTIFICATION FORM

If you have submitted your application to the TLC, you are affiliated to a Street Hail Livery (SHL) Permit, you are ready to Hack Up your vehicle and you DO NOT need to schedule a full NYS DMV inspection appointment, you must provide the TLC the vehicle plate number.

       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

Vehicle Lic #:

Vin #:

Plate #:
 
 
       

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