Note: The total of the percentages for first 4 questions must equal to 100%.
Please note: The fields marked * are mandatory.
Number of Completed Trips as Dispatched by Brokerage*
Change in Business Industry ( % )*
Population Related Factors ( % )*
Information on Drivers/Operators ( % )*
Taxicab Driver Identification Number (Example TA012345)*
Date of Birth (D/M/Y)*
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Privacy Statement

The personal information on this form is collected under authority of the Municipal Act SO 2001, c. 25. Questions about the collection of personal information should be directed to our Call Centre by dialing 3-1-1 (within Brampton city limits) or 905.874.2000 (outside city limits). Please review the City’s Privacy Statement for more information.