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Get Independent Medallion Driver Designation Removal Form
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How to fill out the Independent Medallion Driver Designation Removal Form online
This guide provides clear instructions for users on how to complete the Independent Medallion Driver Designation Removal Form online. Following these steps will ensure your application is submitted accurately and efficiently.
Follow the steps to complete the form correctly.
- Click ‘Get Form’ button to access the form and open it in the online editor.
- Select the application type by checking the appropriate boxes for Driver Removal, Driver Change, or Vehicle Change.
- Enter the date of request in the specified format (MM/DD/YYYY).
- Provide the TLC Driver License Number of the Medallion Owner, the Medallion number, and the name and address of the Medallion Owner, including city, state, and ZIP code.
- Input the telephone number and, if applicable, the details of any assigned agent, including their name, address, and contact information.
- Complete the section for the selected Independent Medallion Driver's information, including their name, address, TLC Driver License number, and license expiration date.
- In the vehicle information section, provide details regarding the lessee, if applicable, including their name, address, and the term of the lease.
- Fill in the vehicle make, model, and VIN, ensuring to attach updated documentation if a vehicle change is being requested.
- Complete the Medallion Owner Affidavit, including necessary checks, dates, and owner signature. This section must be notarized.
- Fill out the affidavit of the selected Independent Medallion Driver, providing details on their responsibilities, signing, and notary requirements.
- Once you have filled out all sections accurately, you may save your changes, download a copy for your records, and print the form for submission.
Complete your documents online to ensure a smooth and efficient submission process.
A NYC taxi medallion has no predefined lifespan. As long as you remain compliant with city regulations, your medallion will remain valid. However, if your driving status changes, the Independent Medallion Driver Designation Removal Form can guide you through the removal process seamlessly. Remaining proactive about your medallion status is essential for long-term ownership.
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