Information Classification: CONTROLLED
                    Application for Hackney Carriage 
                    or Private Hire VEHICLE Licence              
       Please ensure you have read the relevant sections of the hackney-carriage-private-hire-
        vehicle-operator-driver-licensing-policy.pdf (cornwall.gov.uk)    before completing this form, in 
       particular the vehicle specifications and licence conditions before presenting a vehicle for 
       licensing.
       Please state which type of Vehicle Licence is being applied for:
       Private Hire              Hackney Carriage 
       If Hackney Carriage, please state which Taxi Zone: 
       Caradon               Carrick           Kerrier
       North Cornwall        Restormel         Penwith
       Please state type of application:
       Grant 
       Renewal 
       Transfer (change of ownership) 
       Change of vehicle 
       Temporary (for no more than 2 months) 
       Alteration to licence 
       Please note there are Numerical Limitation Policies in respect of the Carrick, Restormel and 
       Penwith Taxi Zones. This means the Council will not grant a Hackney Carriage vehicle licence 
       within these Taxi zones if it is satisfied that there is no significant unmet demand for the 
       services of an additional Hackney Carriage. If this application is for a grant in respect of any of 
       these Taxi zones, please contact the Licensing Team prior to submitting an application.  
            Please answer all questions in full and provide additional sheets if necessary
                              APPLICANT’S DETAILS
       Title           *Mr / Mrs / Miss / Ms / Other (*delete as appropriate)
       Forenames 
       Surname
       Home Address 
       (inc postcode)
       Email Address
       (we will use this address 
       to correspond with you 
       by email)
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                                                                                     Information Classification: CONTROLLED
            Contact Phone              Daytime
            Numbers
                                       Mobile
                                                 BUSINESS DETAILS (if any)
            Name of Business
            Business Address  
            (inc postcode)
            Business Email
            Business Telephone         Area Code:                      Number:
            Number(s)  
                                       Mobile:
            Are you applying as 
            individual(s), Limited     * Individual(s) / Limited Company / Partnership (*delete as 
            Company or                 appropriate)
            Partnership
            If applying as Limited 
            Company, state 
            Registered Number
            If Private Hire, please    Name of Operator:
            give details of Private 
            Hire Operator Licence 
            held or details of         Address of Operator:
            operator who is taking 
            bookings for the 
            vehicle                    Operator Licence Expiry Date:
            If Hackney Carriage, 
            please give details of 
            the company name 
            the vehicle will be 
            used under
                               Hackney Carriage Vehicle Licences issued by the Council require that the 
                               Hackney Carriage must operate in Cornwall and principally work from or 
                               within the Taxi zone that it has been licensed for. If the 
                               applicant/proprietor(s) are not based or residing in Cornwall, or the Taxi zone
                               being applied for, please explain how the Hackney Carriage Vehicle is to be 
                               operated in order to comply with this requirement.
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                                                                                 Information Classification: CONTROLLED
                                                   VEHICLE DETAILS
            Plate/Licence Number 
            (if renewal)
            Vehicle Registration 
            number 
            Make, Model and Colour  
            Seating Capacity             Number of passengers / front or rear facing
                                         (complete this section or attach diagram)
            Row 1 (excluding driver)
            Row 2
            Row 3
            Row 4 (if applicable)
            Is the vehicle able to carry YES / NO
            a wheelchair?
            Is the vehicle capable of    Before answering this question, please refer to information and 
            carrying a ‘reference        measurements on the Council’s website: Wheelchair Accessible 
            wheelchair’ with the         Hackney Carriage and Private Hire Vehicles - Cornwall Council
            passenger remaining in 
            the wheelchair if they       YES / NO
            wish?                        If yes, please state which area/town you primarily operate as this 
                                         will be included on the web-page: 
            Has the vehicle been         YES / NO 
            modified? 
                                         If yes, further information/ documents will need to be produced. 
                        PRIVATE HIRE VEHICLES - PLATE AND SIGNAGE EXEMPTION REQUEST
            Conditions attached to Private Hire vehicle licences require that the licence plate issued by the
            Council is displayed on the exterior of the vehicle, and for prescribed signage to be displayed 
            on the vehicle.  If you wish to apply for an exemption from either of these requirements then 
            please complete the below with detailed reasons for your request. 
            Please refer to information in the policy (section 3.27) for details of limitations in respect of 
            exemptions and what Officers are able to approve.  
            If an Officer is unable to approve an exemption request then it will be referred to the Council’s
            Miscellaneous Licensing Committee for determination. 
            Please state if you wish to apply for an exemption for any of the following:-
            Plate display exemption   YES / NO              Signage display exemption  YES / NO
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                                                                           Information Classification: CONTROLLED
           Please provide details of the type of work each exemption requested will relate if approved  
           (continue on an additional sheet if necessary)
           Please provide reasons to support each exemption request
           (continue on an additional sheet if necessary)
                                           SUPPORTING DOCUMENTS
           The following should be produced to support the       Please state reason if  NOT provided
           application :-
           Vehicle Registration Document (or if recent new 
           purchase ‘new keeper’ part along with evidence of 
           purchase)
           Proof of adequate insurance 
           MOT Certificate (if applicable) 
           If Disabled Accessible vehicle, the manual / guide on 
           the safe loading / unloading of wheelchair passengers
           must be produced
           Any additional documentation in respect of 
           modifications or conversions.
           Completed proprietorship form (as detailed at the 
           end of this application form) 
           If transfer application, written consent from existing 
           vehicle proprietor/s to agree to transfer, in 
           accordance with Section 49 of the Local Government 
           (Miscellaneous Provisions) Act 1976 is required. 
           DBS Basic Disclosure for proprietors / directors / 
           partners (if applicants are not licensed Drivers)
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