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Company Name*
A valid Driver's License with at least a period of one (1) year to run.
Email*
Employer's Details
After submitting this application, you must have it notarized by a Notary of the State of New Jersey. The notarized application is to be submitted along with all required documents. The fee can be made in the form of a certified check, personal check or money order, payable to the City of South Amboy. The Clerk's Office is located at 140 North Broadway, South Amboy, NJ 08879.
Gender
Background Questions
Certification
Previous Residences
Zip*
Place of Birth*
Email
Telephone #*
Have you ever been convicted of a Disorderly Persons Offense?
State*
* Indicates required field
Endorsements
City*
Hair Color
Applicant must provide two (2) recent 2" x 2" photos (Front View), taken within thirty (30) days prior to submission of application.
Address*
Driver's License Details
Height
If you answered Yes to any of the above, please enter the date and reason in the grid below by clicking "+ Add new record."
Marital Status
First Name*
Applicant must bring in person the following documents with their application.
Please list all previous employers.
Have you ever been convicted of a crime?
Operator License #*
City of South Amboy
Date of Birth*
Physical Characteristics
Instructions
H - Hazardous Materials
N - Tank Vehicle
Please list previous places of residence for past five (5) years.
License Class
Is applicant a NEW Taxicab Driver? If "Yes", applicants must undergo a background check before a license can be issued. *
In
Previous Employers
There is NO application fee due for a Taxicab Driver's Permit.
I swear that I have never been convicted, in any state, of any crime or violation of the City Ordinance pertaining to licensing Taxicab. I also consent to fingerprinting and a criminal background check by the City of South Amboy Police Department and New Jersey State Police.
Telephone #*
Required Documents
Click the "+ Add new record' button for each employer, enter all required information and click Update to save.
License #*
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T - Trailer (Double and Triple)
(732) 727-4600
A physician's attestation to attest that the applicant is physically sound, with good eyesight and is not subject to epilepsy, vertigo, hearing trouble, or any other infirmity of body or mind which might make them unfit for the safe operation of a taxicab.
Applicant Details
S - School Bus
L - Air Brakes
Has your driver's license ever been suspended or revoked?
I further understand that if any of the rules and regulations pertaining to this Ordinance or State Laws are violated, the Licensing Authority may suspend or revoke said Operator's Permit. I further understand that a Driver's Permit if granted will be displayed inside the Taxicab visible to all passengers. Both Operators and Taxicab Permits shall be affixed on the outside glove box and shall be lit at night.
Fee Due
Taxicab Driver's Permit Application
140 North Broadway
www.southamboynj.gov
Eye Color
Last Name*
P - Passenger Bus
Fee Schedule
Please Note: This license is not transferable from one taxicab driver to another.
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South Amboy, NJ 08879
Zip*
Address*
Ft
Weight (lbs)
Citizenship Status
There is a $2.00 Notary Fee for each application, to be paid at the time of submission to the Clerk.
State*
Click the "+ Add new record' button for each residence, enter all required information and click Update to save.
SSN #*
City*