Get Ny Medallion Storage Receipt 2015-2026

Filling out the NY Medallion Storage Receipt is a crucial task for individuals managing their medallion credentials. This guide provides clear instructions on how to complete the form efficiently online.

Follow the steps to accurately complete your storage receipt.

1. Click the ‘Get Form’ button to obtain the medallion storage receipt and open it in your preferred editor.
2. In the section labeled 'Name of Owner', enter the full legal name of the medallion owner.
3. Next, fill in the 'Med. No.' field with the corresponding medallion number.
4. Indicate the date the medallion was placed into storage by filling out the 'Date placed into Storage' section. Ensure to input the date for both the medallion and rate card.
5. In the 'Reason For Placing Credentials In Storage' section, provide a brief explanation for the storage request.
6. The authorized person should sign in the 'Placed In Storage By' section and print their name below.
7. The TLC employee will complete the 'Storage Entry By' section, including their signature and date.
8. For agents, ensure compliance with the notice to agents, including submission requirements on company letterhead if applicable.
9. If you are removing credentials from storage, make sure to gather all required documents such as a power of attorney and the original insurance card.
10. Complete the final sections with the necessary signatures and dates for removal from storage.
11. Once all fields are filled accurately, save your changes, and you can choose to download, print, or share the completed form.

Start filling out your NY Medallion Storage Receipt online today!