Operator's application form (PDF document [44.7Kb]) - Reigate and ...

Application for a licence to
operate private hire vehicles
Local Government (Miscellaneous Provisions) Act 1976
Warning: if you knowingly or recklessly make any false statement or omit
any material information on this form you may be prosecuted for
an offence and the licence may be refused.
Section A : Private Hire Operator
Please complete in BLOCK CAPITALS
A1
Operating address
Trading name (of private hire operator): ...........................................................................................................
This must not include the words “taxi” or “cab” and must not be similar to an existing operator licensed by
this authority.
Address*: ..........................................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
*Required to be in the Borough of Reigate & Banstead Borough Council; if there is more than one address from which
the private hire business is carried on, please provide details on a separate sheet. The address shown in Section A
will be where in the course of business you make provision for the invitation or acceptance of bookings for a private
hire vehicle, and at which offi cers will be able to inspect operator records available for immediate inspection. New
applications will be subject to an offi cer visit to inspect the suitability of the record keeping before a licence will be
granted.
A2
Record keeping
Please give details on how you will be keeping your records e.g. spreadsheet, suitable book, proprietary
software, etc.
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
Section B : Applicant
Note to applicant: the applicant is the person, partnership or company to whom the licence is to be granted.
Do you intend to operate as (tick one box):
An individual please complete Section B1 with your personal details.
An unregistered firm or please complete Section B2 with your personal details. Only one member
partnership
of the partnership/fi rm need apply for a licence.
A registered company? the application should be in the company’s name and the details of the
company itself must be given in Section B3.
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B1
Individual applicant details
Title: Mr Mrs Miss Other
Surname: ..................................................................First name(s): .................................................................
Address: ...........................................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
B2
Unregistered firm or partnership details
Name of unregistered company or partnership: ..............................................................................................
Title: Mr Mrs Miss Other
Surname: ..................................................................First name(s): .................................................................
Address: ...........................................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
Full names and addresses of all partners
Full name
Address
Business address
..........................................................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
B3
Registered company details
Name of company: ...........................................................................................................................................
Registered number: ..........................................................................................................................................
Name of company secretary:............................................................................................................................
Company address: ...........................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
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Full names and addresses of all Directors
Full name
Address
Address of registered offi ce:
..........................................................................................................................................................................
..................................................................................Postcode: .......................................................................
Telephone: ................................................................Email: .............................................................................
Instructions for completing Sections C and D
Answers must be given to the questions in these sections in relation to:
1. All applicants whether individuals or a company (i.e. all names given in Section B1);
2. Any partner partnership (i.e. all names given in Section B2);
3. Any director or secretary of the applicant company (i.e. all names given in Section B3);
4. Any company of which any of the applicants is or was a director or secretary.
Section C : Previous licences
C1
Details of current licences
Are there any current and active Operator Licences with this or any other licensing authority licensed to
anyone mentioned in Section B?
No go to Section C2
Yes please give details in the spaces below
Name of applicant Licensing authority Date of expiry
Use additional paper if necessary. You must inform us of all current licences.
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C2
Suspend/Revoked/Refused Licences
Has anyone in Section B had any licence revoked or suspended, or licence application refused at any time,
with this or any other licensing authority?
No go to Section D
Yes please give details in the spaces below
Name of applicant:....................................................Licensing Authority: ........................................................
Application type: .......................................................Date refused/revoked/suspended: .................................
Reasons: ..........................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
Name of applicant:....................................................Licensing Authority: ........................................................
Application type: .......................................................Date refused/revoked/suspended: .................................
Reasons: ..........................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
Use additional paper if necessary.
You must inform us of every suspended/revoked/refused licence.
Section D : Offences
D1
Details of convictions and cautions
Do you or any of the persons listed in Section B have any motoring or criminal convictions/cautions?
No go to Section D2
Yes please give details in the spaces below.
Continue on a separate sheet if necessary.
Name
Date of conviction/
caution
Offence
Sentence
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D2
Outstanding charges and summons
Are there any pending motoring or criminal prosecutions against you or any of the persons listed in Section B?
No go to Section E
Yes please give details in the spaces below
Continue on a separate sheet if necessary.
Name Date of hearing Offence
Section E : Criminal Records Bureau Disclosure
Unless you have obtained a Criminal Records Bureau (CRB) Enhanced disclosure as a driver in the
last three years with Reigate & Banstead Borough Council, you will be required to obtain a Criminal
Records Bureau (CRB) Basic disclosure before we are able to issue a licence; unless you can
provide a suitable reason as to why you consider a CRB check unnecessary, e.g. silent directors
who have no active role in the running of the business.
Individuals named in
B1, B2 or B3
If Standard CRB has been undertaken as a
Driver with Reigate and Banstead, please
include Licence Number of Driver
Or please tick below that you
have enclosed a Basic CRB, or a
statement as to why you consider a
CRB check unnecessary
Section F : Premises
F1
Premises details
Please give a description of the premises from you which you intend to operate e.g. offi ce space, shop,
residential, etc.
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F2
Public liability
Does the premises include any areas to the public?
No go to Section F3
Yes enclose a copy of your Public Liability Insurance
F3
Planning permission
Have you checked with Reigate & Banstead’s Planning Department that you will not be in breach of any
planning legislation by operating as a private hire operator from the above premises?
No contact them on 01737 276000
Yes go to Section G
Section G : Vehicles
This is an application to operate a maximum of (please tick one box):
5 vehicles 10 vehicles 20 vehicles 50 vehicles
100 vehicles more than 100 vehicles
Please attach:
A list of all the vehicles and drivers which you intend to operate. Please note all vehicles and drivers must be
licensed with Reigate & Banstead Borough Council.
• Please include the registration numbers of the vehicles and their Private Hire/Hackney Carriage Vehicles
licence numbers.
• The full name of the Private Hire/Hackney Carriage Drivers and their licence numbers.
For renewal applications, please attach a list of all the vehicles and drivers which you currently operate as
above.
Section H : Fee
Fee enclosed: (see fee chart)
Licences and conditions
We are empowered to attach to the grant of a licence such conditions as they may consider reasonably
necessary and various powers are given to the Council to refuse, suspend or revoke the licences.
Any person aggrieved by the refusal of this Licensing Authority to grant a private hire operator licence
or by any conditions specified in such a licence, may appeal to a Magistrates’ Court. In any such
event, the aggrieved person will be advised of their statutory right and procedures for an appeal.
Correspondence to:
Licensing Offi cer, Reigate & Banstead Borough Council, Town Hall, Castlefi eld Road, Reigate RH2 0SH
Telephone enquiries: 01737 276672 (9am - 4pm)
Fax: 01737 276404
Email:
licensing@reigate-banstead.gov.uk
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Section I : Declaration
I understand that the information that I have given in this form and in any other form completed in respect of
my application will be taken into account by the Council when determining the application. I declare that all
such information is true and complete to the best of my knowledge and belief and acknowledge that I shall be
liable to prosecution if I have made a false statement or omitted any relevant fact. I undertake to notify the
Council of any change in these particulars during the currency of the licence.
I certify that the maximum number of vehicles intended to be operated by the applicant
under this licence if it is granted will be vehicles.
Data Protection Act 1998
Reigate & Banstead Borough Council will act as Data Controller in respect of your personal data held. We
will process the personal data you have provided only for the purposes of licensing. By signing and returning
this form to us you give consent to the Council to process sensitive personal data about you where this is
necessary, for example health information.
You have the right to apply for a copy of your personal data (for which a small fee will be charged) and to
have any inaccuracies corrected.
Audit Commission Act 1998
The Council is under a duty to protect the public funds it administers and to this end may use the information
you have provided on this form for the prevention and detection of fraud. It may share this information with
other departments within the Council or external organisations responsible for auditing and administering
public funds for these purposes.
Applicant 1 name (in block capitals):
Signature:
Date:
State capacity in which signed*:
*In the case of a registered company the signature of a company director or company secretary is required.
Licences will not be issued until all enquiries are complete.
Official use only
Uniform reference number
Authorised offi cer:
Date:
November 2011
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