Dca License Renewal Form PDF Details

The DCA License Renewal form is governed by Section 85-9 of the Broome County Local Law. Taxicab drivers must submit their renewal at least 30 days before their license expires. Late submissions are treated as new applications, which require more steps and higher fees. The form collects personal details, employment history, and records of any criminal infractions. Applicants must also pass a drug screening test and provide their New York State Chauffeur's License and driving history. Making a false statement on this form is a Class A misdemeanor under New York law.

QuestionAnswer
Form NameDca License Renewal Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestaxi permit renewal, shall broome renewal, drivers license template editable word, dca renewal application

How to Edit Dca License Renewal Form Online for Free

The DCA License Renewal form lets taxicab drivers in Broome County continue working legally after their current license expires. Follow the steps below to complete your application correctly and on time.

How to Fill Out the DCA License Renewal Form

  1. Gather your documents. Collect your current DCA license, New York State Chauffeur's License, drug screening result, and a copy of your driving record before you begin.
  2. Fill in your personal information. Enter your full legal name, current address, date of birth, and contact details in the applicant section.
  3. List your employment history. Provide the name and address of your current taxicab employer and any past employers from the previous 12 months.
  4. Disclose your criminal history. Report any arrests, convictions, or pending charges. Leaving this section incomplete may result in denial of your renewal.
  5. Attach all required documents. Include your completed drug screening result and a copy of your driving record from the New York State DMV.
  6. Sign the form. Read all declarations carefully before signing. A false statement on this form is a Class A misdemeanor under New York law.
  7. Submit at least 30 days before expiration. Broome County requires your application before the 30-day deadline to process your renewal without additional fees.

What Happens If I Miss the 30-Day Renewal Deadline?

If you submit after the 30-day window, Broome County processes your application as a new applicant. New applicants must meet more requirements and pay higher fees than drivers who renew on time. Submit your form early to avoid delays and extra costs.

What Documents Are Required for the DCA License Renewal?

You need your current DCA license number, a valid New York State Chauffeur's License, proof of a completed drug screening test, and your driving history from the New York State DMV. Have all documents ready before you start filling out the form to avoid errors.

Related License and Permit Forms

You may also need these related forms during your licensing process: