HomeMy WebLinkAboutTaxiCab_Application $45 NEW / $40 RENEWAL (EXPIRES 6/30/2022)
COPY OF DRIVER’S LICENSE
Please return your application with the above items by mail (City Clerk’s Office, 215 Church Avenue) or
the City Hall Drop Box (by our front door) We will not be asking for a photo. Please make sure all questions
have been answered and you have signed the application. Once the license is approved we will mail the
license and a receipt to you.
CITY OF OSHKOSH TAXICAB DRIVER APPLICATION
Last Name First Name Middle
Street Address Apartment
City State Zip
Phone E-mail
Previous Name Date of Birth
Applicant’s Employer
Have you ever had a Taxicab Driver’s License
If so, when & by what municipality? YES NO
Has your Driver’s License ever been revoked or suspended?
If so, for what cause and when? YES NO
Have you EVER been convicted of a felony? If so, give details:
YES NO
Have you EVER been convicted of a misdemeanor? If so, give details:
YES NO
Character Reference 1 of 2 (non-family member)
____________________________________________________________________________________________
Name Address Phone
Character Reference 2 of 2 (non-family member)
____________________________________________________________________________________________
Name Address Phone
The undersigned deposes and says that he/she is the applicant named in the foregoing application and
he/she has read each of the questions in said application and that he/she has made complete answers to
each question, and that his/her said answers are true and correct.
Signature of Applicant: Date:
The applicant has been investigated and is hereby approved.
Signature of Chief of Police: Date:
License Number 22-__________ Council Approval Date _____/_____/_______
Expiration Date 06/30/2024