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Cooper Medallion Reactivation Request Form Please PRINT and complete this form in order to request a Dealer be reactivated into the Medallion program. Submit form to HQ CooperMedallion.com or Fax

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What is cooper medallion reactivation request?

The cooper medallion reactivation request is a formal application submitted to reactivate an inactive or suspended cooper medallion, which permits medallion owners to operate their medallions for taxi services.

Who is required to file cooper medallion reactivation request?

Medallion owners whose cooper medallions have been inactive, suspended, or revoked are required to file the cooper medallion reactivation request.

How to fill out cooper medallion reactivation request?

To fill out the cooper medallion reactivation request, the medallion owner must complete the official form, providing necessary information such as personal details, medallion number, status of the medallion, and any required documentation.

What is the purpose of cooper medallion reactivation request?

The purpose of the cooper medallion reactivation request is to formally request the restoration of a medallion's operating status so that the owner can legally operate the medallion for taxi services again.

What information must be reported on cooper medallion reactivation request?

The information that must be reported includes the owner's name, address, medallion number, reason for reactivation, and any relevant documentation that supports the request.

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