Get Ny Affirmation To Request A Replacement Credential 2018-2025

The NY Affirmation To Request A Replacement Credential is a vital document for individuals seeking a replacement for lost, stolen, or damaged credentials issued by the Taxi and Limousine Commission. This guide provides a clear, step-by-step approach to help you complete the form accurately and efficiently online.

Follow the steps to fill out the form accurately and effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name where indicated, following the format: Last Name, First Name.
3. Next, check the box corresponding to the type of credential you need to replace: TLC Driver License, Medallion TIN, FHV Decal, Medallion Rate Card, SHL Permit, or SHL Rate Card.
4. Indicate the reason for the request by checking one of the following options: Lost, Stolen, Damaged/Mutilated, or Lost in Mail (only applicable for TLC Driver License).
5. Provide the expiration date of the credential you are replacing in the designated space.
6. Confirm that you assert no other person or business has any rights to the reported lost or stolen Medallion/SHL permit and/or rate card, as required.
7. Read the notices carefully, especially regarding the consequences of using a replacement license and your obligations regarding outstanding judgments with the TLC.
8. Sign the form to affirm that all information you provided is truthful and accurate.
9. Indicate the name of the TLC employee processing your request and the date of the affirmation.
10. After completing all sections, save your changes, and consider downloading, printing, or sharing the form as necessary.

Complete your documents online to easily manage your credential replacement process.