APPLICATION FOR THE GRANT OF A PRIVATE HIRE VEHICLE PLATE EXEMPTION

This form must be FULLY completed, and relevant supporting information provided for the application to be considered. When complete, please return the form to Licensing, Surrey Heath Borough Council, Surrey Heath House, Knoll Road, Camberley Surrey GU15 3HD or scanned and sent by email with the supporting documentation to: licensing@surreyheath.gov.uk 

Please complete all sections of the application form in BLOCK CAPITALS. Incomplete applications will be rejected

We will only grant an exemption where we are satisfied that you use the vehicle exclusively or primarily for ‘chauffeured’ private hire work. This means that you provide the chauffeur and vehicle to a business or person, and the display of a licence plate may affect the dignity or security of the persons you are carrying.

PLEASE SUPPLY LETTERS from your clients and booking records from all operators that control the vehicle demonstrating the vehicle is used exclusively or primarily for ‘chauffeured’ private hire work to support this dispensation request.

YOU MUST CONTINUTE TO DISPLAY THE LICENCE PLATE UNTIL SUCH TIME AS THE PLATE EXEMPTION LETTER HAS BEEN ISSUED. Should the vehicle be granted dispensation from displaying an external plate, the plate and letter of dispensation must be carried in the vehicle at all times. The internal window disc must be displayed in the windscreen on the passenger side at all times.

 

Person(s) in possession and control of the vehicle who will be considered the Proprietor of the Private Hire Vehicle Licence, unless otherwise stated. The applicant must be the owner, or one of the owners, of the vehicle as shown on the registration document, bill of sale and on any HP or lease agreement.

List all licensed Operators controlling the vehicle. Please indicate which operator is the primary operator and describe the type of work the vehicle carries out e.g. chauffeur, school run. You are required to provide booking records for the vehicle for all operators listed covering the last 3 months.

I hereby make application to Surrey Heath Borough Council for the issue of a dispensation to the requirement to display a Private Hire vehicle licence plate subject to the Statutes, Regulations, Policies and Conditions relating to the same for the time being in force.

I declare that I have checked the information on the application and to the best of my knowledge and belief, it is correct.  I understand that it is an offence for any person to knowingly or recklessly make a false statement or to omit material information for which I could be prosecuted and any licence issued suspended or revoked.

I understand that if this dispensation is approved, I will immediately notify the Licensing Authority if there are any changes to the arrangements outlined in this application.

I confirm that I will abide by the additional conditions for the use of Executive vehicles.

I understand that if the requirements in the additional conditions are not complied with the dispensation may be withdrawn at any time.