Chauffeur Registration PDF Details

If you're thinking about becoming a chauffeur, it's important to understand the registration process. In this blog post, we'll outline the steps you need to take to become registered and licensed in your state. We'll also provide information on insurance requirements and what types of vehicles are eligible for chauffeur registration.

Here, there are a number of particulars about chauffeur registration PDF. It might be beneficial to find out its size, the actual time to fill out the form, the blanks you will have to fill in, and so on.

QuestionAnswer
Form NameChauffeur Registration
Form Length4 pages
Fillable?Yes
Fillable fields66
Avg. time to fill out14 min 12 sec
Other nameshack license miami, chauffeur licence, chauffeur registration, hack license florida

Form Preview Example

Department of Transportation and Public Works

For- Hire Transportation

601 NW 1st Court, 18th Floor

Miami, Florida 33136

Telephone No. (786) 469-2300

CHAUFFEUR REGISTRATION INITIAL/RENEWAL APPLICATION

GENERAL INFORMATION

When to apply: Monday through Friday (Except Holidays) 8:00 a.m. to 3:30 p.m. Applicants must apply in person.

What to bring: U.S. Citizens- Social Security Card or U.S. Passport or original certified U.S. Birth Certificate or original Certificate of Naturalization

Non U.S. Citizens- Social Security Card and original Permanent Residency Card or original valid Work Authorization Card (if applicable)

Valid State of Florida Driver’s License

First Aid Certification (School Bus applicants only)

Defensive Driving Certification (original applicants or renewal applicants with two (2) or more moving violations within the last two (2) years). Taxicab and Limo drivers are exempt.

Certificate of training in Passenger Assistance Techniques (PAT) for Wheelchair Accessible Vehicles (if applicable).

Private School Bus drivers transporting more than 15 passengers (including driver), must have a CDL License with “P” endorsement.

State of Florida Concealed Weapons Permit (If Applicable)

Fees are only payable by check, money order, debit or credit card (Visa, Master Card or American Express). If you pay by check, the check must be over series #200 and pre-printed with your name and address and issued by a local bank. All fees are NON REFUNDABLE

 

Training Program

Materials

 

 

Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

All New Applicants

FDLE (criminal backgrounds)

 

$24.00

 

 

 

 

 

 

 

 

 

New Passenger Motor Carrier (PMC), Jitney,

ACES Manual

 

 

$5.00

 

 

Non-Emergency(NE) and Special

 

 

 

 

 

 

Transportation Services (STS) Applicants

 

 

 

 

 

 

New Private School Bus Applicants

Training Class

 

 

$30.00

 

 

 

Training Manual

 

$5.00

 

 

 

 

 

 

 

 

 

New Taxicab or Limousine Applicants

1 year - $89.00

2 years - $144.00

 

 

 

 

 

 

 

 

 

New or Renewal Applicants

1 year - $65.00

2 years - $120.00

 

 

 

 

 

 

 

 

 

 

Adding Company, Lost or Stolen Chauffeur

$26.00

 

 

 

 

 

Registration

 

 

 

 

 

 

 

 

 

 

 

 

 

Change of Address on Chauffeur Registration

No Charge

 

 

 

 

 

 

 

 

 

 

 

Renewal Late Fee:

If a Chauffeur’s Registration is not renewed on or before the expiration date, the driver

 

 

 

will be required to pay a $55.00 late fee in addition to the renewal fee.

 

 

You may renew your Chauffeur’s Registration up to ninety (90) days before it expires.

Renewals

:

 

 

Initial applicants are required to attend a Department of Transportation and Public Works (DTPW)

Training/Testing

:

 

 

 

Training Program to obtain a Chauffeurs Registration. Renewal applicants are required to attend

 

 

 

training every two years. The training program offered is the Academy for Chauffeur

 

 

 

Excellence and Service (ACES) (1 day): For first time PSB, PMC, NE/STS, JITNEY and

 

 

 

renewal drivers. PSB drivers are required to take training only once.

New and Renewal Taxicab and Limousine applicants are exempt from training classes and physicals. If any other type of transportation is added to the license along with Taxicab and or Limousine, you will be required to take a training class and submit a physical.

Use of Social Security #: Pursuant to Florida Statute Section 119.071(5), DTPW collects social security numbers for identification and verification purposes. Social Security numbers are also used as a unique numeric identifier and may be used for search purposes.

CHAUFFEUR REGISTRATION INITIAL/RENEWAL APPLICATION

PLEASE CHECK APPROPRIATE BOX

 

[ ] Original

[ ] Renewal

[ ] Address Change

[

] Add/Change Company

[ ] Lost/Stolen License

 

 

Part 1- TO BE COMPLETED BY APPLICANT (PLEASE PRINT)

 

 

 

 

 

 

 

 

 

Home

 

 

Cell

 

 

 

Name:________________________________________

Phone #_____________________

Phone #__________________________

 

Address:______________________________________

Social Security #:______________________ email address: ____________________

 

City/State/Zip:__________________________________

FL Driver’s License #_______________________________ Exp. Date____________

 

Place of Birth:_____________________

Date of Birth__________________

Primary Language Spoken at Home _________________

PLEASE ANSWER THE FOLLOWING QUESTIONS:

1. Have you EVER pled nolo contendere, pled guilty, been found guilty or been convicted of any of the following crimes (even if adjudication was withheld):

YES

NO

YES

NO

[

]

[ ] Involving use of a deadly weapon

[

]

[ ] Involving trafficking in narcotics

[

]

[

] Sex Crime

[

]

[ ] Involving moral turpitude not related to

 

 

 

sex crimes

[

]

[

] Kidnapping

[

]

[

] Involving homicide

[

]

[ ] Involving violent offense against a Law Enforcement Officer

[

]

[ ] Any other felonies (within the last 5 years)

[

]

[ ] Any other crimes including misdemeanors

[

]

[

] Arson

[

]

[

] Prostitution

If yes to any question, please explain: _________________________________________________________________________________

2.If convicted of a felony, have your civil/residency rights been restored? ______________If yes, attach proof of restoration.

3.During the last five (5) years prior to this application, has your Driver’s License been suspended for, OR have you pled nolo contendere OR pled guilty OR been found guilty OR been convicted (even if adjudication was withheld) of:

YES NO

[

]

[ ] Driving under the influence of drugs or intoxicating liquors (D.U.I)

[

]

[ ] Three (3) or more traffic infractions resulting in accidents.

[

]

[ ] Fleeing the scene of any accident.

[

]

[

] Vehicular Manslaughter or any death resulting from the operation of a motor vehicle.

[

]

[

] Any felony in the commission of which a motor vehicle is used.

4.

Has your Florida Driver’s License EVER been suspended/revoked (even if reinstated) for any reason?

[

] Yes

[

] No

 

If yes, explain: _______________________________________________________________________________________________________

5.

Has your Florida Driver’s License been suspended two (2) or more times within the last 12 months?

[

] Yes

[

] No

6.

Have you been found guilty, pled guilty or nolo contendere to two or more moving violations within the past two (2) years? [

] Yes [ ] No

7.

During the last five (5) years prior to this application, have you had 24 points against your driver’s license?

[ ] Yes

 

[

] No

IMPORTANT: IF YES IS CHECKED TO ANY OF THE ABOVE QUESTIONS YOU MAY NOT BE ELIGIBLE FOR A CHAUFFEUR REGISTRATION - PLEASE REFER TO THE MIAMI-DADE COUNTY CODE SECTION 31-303(E) FOR SPECIFIC CLARIFICATION

FOR-HIRE PASSENGER TRANSPORTATION UNIT ONLY:

 

Registration No. _______________

Expiration Date:_________________

Training Date: ___________________

Processed by:_________________

Issued by:_____________________

Date Issued:____________________

PART 2 – TYPES OF TRANSPORTATION WHICH THE APPLICANT CHOOSES TO PROVIDE:

PLEASE CHECK APPLICABLE BOX(ES)

[ ] Taxi

[ ] Limousine

[ ] Non Emergency

[ ] STS

[ ] PMC General

[ ] Jitney/ Fixed/Circulator

[] School Bus (Seating Capacity__________ )

If School Bus Operator, list all schools currently servicing________________________________________________________________________

********************************************************************************************************************************************************

PART 3- FIREARM DISCLOSURE

Do you possess or transport a firearm while engaged in For-Hire Transportation? [ ] Yes I do**

[ ] No I do not

By signing this application, you hereby agree not to possess and/or transport a firearm while engaged in For-Hire Transportation, unless you are authorized to do so by State Law. Any required State License must be current and valid and must be kept on file at all times with the Department of Transportation and Public Works (DTPW), For-Hire Transportation Unit. The filing of this disclosure must be performed with every renewal application.

******************************************************************************************************************************************************

PART 4- CHAUFFEUR CERTIFICATION (TO BE COMPLETED AT OFFICE)

I understand that my Chauffeur’s Registration (Hack License) may be subject to suspension or revocation by the Department of Transportation and Public Works (DTPW) under, but not limited to the following conditions:

1.If I fail to comply with or willfully violate any of the applicable provisions of the Miami-Dade County Code and/or the applicable laws.

2.If any material fact was omitted or falsely stated on my application.

I understand that my Chauffeur’s Registration shall be automatically revoked by (DTPW) if I plead nolo contendere, plead guilty or if I am convicted of a

felony or of any criminal offense involving moral turpitude or a crime involving the use of deadly weapons or trafficking in narcotics; or if my State of Florida Driver’s License is suspended or revoked; or if it is determined, after drug or alcohol testing, that my use of alcohol or a controlled substance

has impaired or is impairing my ability to drive a for-hire vehicle.

I understand that I shall not refuse or neglect to transport to any place in the county any orderly person, including a service animal, who is willing and able to pay the prescribed fare and I shall not accept any additional passengers without the consent of the passengers already within the vehicle unless

the passenger is being transported under a shared ride or other special service rate. As used in Chapter 31 of the Miami-Dade County Code, the term “service animal” shall mean any guide dog, signal dog, or other animal, as defined in 28 C.F.R. § 36.104, individually trained to do work or perform

tasks for the benefit of an individual with a disability, including, but not limited to, guiding individuals with impaired vision, alerting individuals with

impaired hearing to intruders or sounds, providing minimal protection or rescue work, pulling a wheelchair, or fetching dropped items. I also understand that if I commit two violations of this section, my chauffeur’s registration may be suspended for a period of up to six months or revoked.

I understand that fines, as required by Miami-Dade County Code for each infraction, may be imposed for violation of Code provisions. Furthermore, if I am caught cheating during any of the trainings, or the examination itself, my application will be denied and I shall not be eligible to re-apply for a

Chauffeur’s Registration for one year.

I also understand that for the industries where a for-hire training is required, such training will be conducted in English (with the exception of the school bus training which is also conducted in Spanish). An English proficiency test will be conducted at the beginning of the training session and failure to pass this test will result in the denial of your application and forfeiture of any application fees that were paid.

I certify under oath that I am not a user of alcohol or drugs whose current use would constitute a direct threat to property or the safety of others. I further pledge that I will not be a user of alcohol or drugs in a manner that would constitute a direct threat to the property and safety of others. I further certify under oath that I am free of any mental defect or disease that would constitute a direct threat to the property or safety of others or would impair my ability to drive a for-hire vehicle. This further certifies that I am duly authorized to work in the United States of America under the current laws of the Department of Homeland Security, Bureau of Citizenship and Immigration Services.

I understand that I am responsible for knowing all the rules and regulations pertaining to for-hire chauffeurs which are contained in Chapter 31, Article V of the Miami-Dade County Code.

I also certify that all statements contained in my application are complete and true. I acknowledge that omissions or false statements will be grounds for revocation or non-issuance of a Chauffeur’s Registration.

Chauffeur’s Signature: _____________________________________________________

Date _______________________________________

REPORT OF PHYSICAL EXAMINATION FOR CHAUFFEUR’S REGISTRATION

PART 5- TO BE COMPLETED BY LICENSED PHYSICIAN OR ADVANCED REGISTERED NURSE PRACTITIONER All data must be completed for this form to be accepted.

Name: ______________________________________________________

Date of Birth: ______________________________________

Health History:

 

 

 

 

 

YES

NO

YES

 

NO

[

]

[ ] Head or Spinal Injuries

[

]

[

] Muscular Disease

[

]

[

] Cardiovascular Disease

[

]

[

] Psychiatric Disorder

[

]

[

] Tuberculosis

[

]

[

] Nervous Disorder

[

]

[

] Gastrointestinal Ulcer

[

]

[ ] Use of Narcotics

[

]

[

] Vision Disorder

[

]

[

] Excessive Alcohol

[

]

[

] Hearing Disorder

[

]

[ ] Seizures, fits, convulsions, fainting

[

]

[

] Asthma

[

]

[

] Syphilis, gonorrhea

[

]

[

] Diabetes

[

]

[

] Other Disease

[

]

[

] Kidney Disease

 

 

 

 

PHYSICAL EXAMINATION

 

 

 

 

1.

Height:____________ Weight:____________

Color of eyes ______________

Color of Hair _____________

 

General Health: Good__________

Fair__________ Poor__________

 

2.

Vision: Without corrective lenses:

Right eye

20/_________

Left eye 20/_____

With corrective lenses:

Right eye 20/__________

Left eye 20/_____

Color perception or red, green and yellow?

Yes_______

No_______

Horizontal field of vision is within normal range?

Yes_______

No_______

 

Evidence of disease or injury: ____________________________________________________________________________________

3.

Hearing: Right ear____________ Left ear____________

With normal range? Yes________ No________

 

4.

Heart: Blood pressure: Systolic____________

Diastolic___________

Is the reading normal? Yes_______

No________

 

Pulse: Before Exercise_____________

After Exercise_______

Is the reading normal? Yes_______

No________

 

Any evidence of disease or injury:___________________________________________________________________________________

5.

Extremities: Hands, arms, legs and feet are normal or adequate?

Yes____________

No___________

 

Coordination and reflexes are normal or adequate?

 

Yes____________

No____________

 

Evidence of disease or injury:__________________________________________________________________________________

6.Other: Any evidence of illness, disease or injury involving the following?

YES

NO

YES

NO

 

[

]

[

] Abdomen

[

]

[

] Back Muscles

[

]

[

] Lungs

[

]

[

] Communicable Disease

[

]

[

] Nose and Throat

[

]

[

] Mental Abnormalities

[

]

[

] Hernia

[

]

[

] Emotional Instability

If you answered yes to any of the above, please explain:__________________________________________________________________________

7.Physician’s/Nurse Practitioner’s comments on Health History “yes” answers: ________________________________________________________

_______________________________________________________________________________________________________________________

I certify that I am licensed to practice in the State of Florida and that I have conducted an examination of the individual identified above. My findings indicate that this individual is medically qualified and physically able to drive a for–hire vehicle and assist for-hire passengers to enter or exit the vehicle, load or unload passenger baggage, and all other similar passenger related needs. A for-hire vehicle is defined as a passenger motor vehicle, jitney, non-emergency medical transportation vehicle, special transportation services vehicle, or private school bus.

Name of Examining Doctor

or Advanced Nurse Practitioner (please print) _________________________________________ Telephone #____________________________

Signature ______________________________________________Date Signed ____________________________________

Florida HRS Certification No. or State of Florida License No._______________________________

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chauffeur license florida gaps to consider

Write the details in If yes to any question, YES NO, Driving under the influence of, Three (3) or more traffic, Fleeing the scene of any, Vehicular Manslaughter or any, Any felony in the commission, IMPORTANT: IF YES IS CHECKED TO, and FOR-HIRE PASSENGER TRANSPORTATION.

part 2 to completing chauffeur license florida

In the section dealing with FOR-HIRE PASSENGER TRANSPORTATION, you should note some appropriate information.

stage 3 to finishing chauffeur license florida

You should define the rights and obligations of both sides in part PART 2 – TYPES OF TRANSPORTATION, Taxi Limousine Non Emergency, If School Bus Operator, Do you possess or transport a, By signing this application, PART 4- CHAUFFEUR CERTIFICATION, If I fail to comply with or, and I understand that my Chauffeur’s.

step 4 to completing chauffeur license florida

Complete the file by reviewing all of these areas: YES NO , Muscular Disease Psychiatric, NO Head or Spinal Injuries , and PART 5- TO BE COMPLETED BY.

Completing chauffeur license florida stage 5

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