Get the free Independent Medallion Driver Application Form - NYCgov

INDEPENDENT MEDALLION DRIVER APPLICATION From This form is used to submit a request for the Designation of an Independent Driver under the Independent Driver Option. It must be submitted by mail only

How to fill out independent medallion driver application

How to fill out independent medallion driver application:

1. Start by obtaining the application form from the relevant authority or agency responsible for issuing medallions for independent drivers in your area.
2. Carefully read the instructions provided with the application form to understand the required documents, information, and any specific guidelines for filling out the form.
3. Begin by providing your personal information such as your full name, contact details, address, and date of birth.
4. Fill in your driver's license information, including the license number, expiration date, and any endorsements or restrictions.
5. Specify your driving experience, including the total number of years you have been a driver and any relevant professional driving experience.
6. Outline your employment history, providing details of any previous or current employment as a driver or in a related field.
7. Provide any additional information or certifications that may be required, such as first aid training or defensive driving courses.
8. Fill in the vehicle information section, including the make, model, year, and license plate number of the vehicle you intend to use as an independent medallion driver.
9. Attach all necessary supporting documents, such as copies of your driver's license, vehicle registration, insurance, and any other required certifications.
10. Double-check your completed application form for any errors or missing information before submitting it.

Who needs independent medallion driver application:

1. Individuals who wish to operate as independent taxi or rideshare drivers in areas that require medallions.
2. Current taxi or rideshare drivers who want to become independent contractors or operate their own business.
3. Drivers who meet the specific criteria and qualifications set by the local transportation authority to obtain a medallion and operate independently.

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