Taxi replacement and sundry items order form

Taxi Items
1. Please use this form to order replacement taxi licences, badges, plates and other taxi related sundry items.
  
  All items are chargeable and the payment amount will be calculated on the form below as you select the items you require.
  
  All items ordered will need to be collected from the Town Hall (except for emailed licence copies) and you will you be contacted when they are ready to collect.
  
  This may be up to 5 working days from receipt of your order.
2. Your details
  1. Full Name*
  2. Address line 1*
  3. Address line 2
  4. Town/city*
  5. Postcode*
  6. Contact phone number*
  7. Email address*
  8. Are you requesting items relating to the following: *
    
    Hackney Vehicle
    
    Private Hire Vehicle
    
    Hackney Driver
    
    Private Hire Driver
    
    Private Hire Operator
  9. Plate number
  10. Badge number
  11. Private Hire Operator – Licence number
4. Items Required:*
  
  Copy of Licence
  
  Display Card
  
  Internal display card holder
  
  Private door sticker
  
  Replacement driver badge
  
  Replacement vehicle plate
  
  Vehicle plate keys
  
  Vehicle fixing kit
5. Number of items required:
  1. Which licence do you require a copy of:
    
    Driver licence
    
    Vehicle licence
    
    Private Hire Operator licence
  2. How many copies of your DRIVER licence do you require?
    
    1
    
    2
  3. How many copies of your VEHICLE licence do you require?
    
    1
    
    2
  4. How many copies of your PRIVATE HIRE OPERATOR licence do you require?
    
    1
    
    2
  5. Do you wish to receive the copy of your licence(s):
    
    Via email
    
    Paper copy to be collected from the Town Hall
  6. How many display cards do you require?
    
    1
    
    2
  7. How many internal display card holders do you require?
    
    1
    
    2
  8. How many private door stickers do you require?
    
    1
    
    2
  9. How many replacement driver badges do you require?
    
    1
    
    2
  10. How many replacement vehicle plates do you require?
    
    1
    
    2
  11. How many vehicle plate keys do you require?
    
    1
    
    2
  12. How many vehicle fixing kits do you require?
    
    1
    
    2
6. Please tell us the reason(s) why you are requesting the replacement item or item(s)? (Please choose all that apply)*
  
  Damaged
  
  Lost
  
  Stolen
  
  Other (please specify)
7. Please specify the other reason below
8. Amount to Pay
11. Preston City Council will use your information in a manner compatible with the General Data Protection Regulation (GDPR).
  
  Any disclosures or sharing of information will only take place where required or permitted by law. For further information please see our privacy notice .

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Taxi replacement and sundry items order form