|
This is the TLC's Complaint Confirmation form. This form should only be accessed by passengers who have already filed complaints with the TLC and received a complaint confirmation letter. If you do not have a valid medallion number, licensee number or driver's name we can not proceed to a hearing. Please fill in all required fields. If you do not wish to have a hearing your complaint will be closed.
|
| Fields marked with an * are required. |
|
| |
|
|
|
|
|
|
| * First Name |
|
| * Last Name |
|
* Complaint #
(no dashes) |
(located on the top of your complaint confirmation letter) |
* Incident Date |
|
| * Incident Time |
|
|
|
|
|
|
|
| |
|
| * Incident Borough |
|
| * Incident Location: |
|
| |
|
| Medallion/License #: |
|
| Driver's Name: |
|
|
|
|
|
| |
* Please provide a brief description of your complaint:
|
| |
|
* Would you like to attend a hearing? Yes No
|
This section is only required if you have answered "yes" to "Would you like to attend a hearing?"
Desired Date and Time for a Hearing (check all that apply):
Monday Tuesday Wednesday Thursday Friday
8:30 AM to 11:30 AM 12:30 PM to 3:15 PM
|
|
|
|
|
