Cheyenne Public Transportation Driver License

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                          CITY OF CHEYENNE
                 PERMIT APPLICATION
       PUBLIC TRANSPORTATION DRIVER
ANNUAL/NONREFUNDABLE PERMIT FEE $25.00:                                   CHANGE IN BUSINESS AFFILIATION $10.00:
Business Type: Taxicab                Limousine Services                    Horsedrawn Carriage               Pedicab
(PURSUANT TO CITY CODE, TITLE 5, CHAPTERS 5.04, 5.08, 5.72)                                  PERMIT # ______________________

Attach the following:
         Two (2) front-face portrait photographs (2" x 2") taken within thirty (30) days of date of application.
         Date of photographs: ______________________________

         Proof of valid driver's license showing that applicant is at least the age of majority

          Fingerprints taken by the Police Department (Contact 637-6535 to schedule an appointment)


EMPLOYER'S BUSINESS NAME:
EMPLOYER'S BUSINESS ADDRESS:
APPLICANT NAME:
                                     First                       Middle                              Last

ALL NAMES, NICKNAMES AND ALIASES BY WHICH THE APPLICANT HAS BEEN KNOWN:

APPLICANT IS ELIGIBLE TO BE EMPLOYED UNDER FEDERAL LAWS PERTAINING TO IMMIGRATION:
                                             YES                            NO

RESIDENCE ADDRESS/CITY/STATE/ZIP:
TELEPHONE #:                                                               BIRTH DATE:
DRIVER'S LICENSE NUMBER /STATE ISSUED/EXPIRATION DATE:
HAS ANY STATE EVER DENIED ISSUANCE OR RENEWAL OF YOUR DRIVER'S LICENSE?
If so, explain circumstances:

HAS YOUR PRIVILEGE (DRIVER'S LICENSE) TO OPERATE A MOTOR VEHICLE OF ANY KIND EVER BEEN
SUSPENDED OR REVOKED?                         If so, provide date(s), location(s) and reason(s):


HAVE YOU EVER BEEN DENIED THE AUTHORITY, INCLUDING SUSPENSION OR REVOCATION OF AUTHORITY,
TO PROVIDE PUBLIC TRANSPORTATION SERVICES IN ANY STATE?
If so, provide State, date(s), and reason(s):


HAVE YOU EVER BEEN ARRESTED FOR OR CHARGED WITH A FELONY OR ANY MISDEMEANOR OFFENSE,
INCLUDING CHARGES RELATING TO VIOLATIONS OF MOTOR VEHICLE AND TRAFFIC LAWS, OR CONVICTED
OF ANY FELONY OR MISDEMEANOR OFFENSE WITHIN THE PAST 10 YEARS? If so, provide date(s), nature of offense(s),
name and court location(s), and sentence imposed:



DO YOU HAVE ANY CURRENT CHARGES PENDING AGAINST YOU (including traffic offenses)?
If so, provide date(s), nature of alleged offense(s), name and court location(s), and date of appearance:
                                                        AFFIDAVIT/AUTHORIZATION

      The undersigned applicant hereby authorizes the City of Cheyenne and its agents and employees to seek information
      and conduct investigations into the truth of the foregoing statements as set forth in this application, and agrees to comply
      fully with the rules and regulations of the City of Cheyenne, Wyoming, governing the permit requested, and further
      declares that the foregoing information contained in this application is true and correct.

      NOTICE TO APPLICANT:           Every public transportation business license or driver permit is subject to revocation or
      suspension pursuant to Chapter 5.04.100 of Cheyenne City Code even if the information which justifies suspension or
      revocation existed at the time the license or permit was granted.

         ______________________                                               ____________________________________
         Date                                                                 Applicant Signature

         STATE OF WYOMING                       )
                                                ) ss.
         County of Laramie                      )

         Subscribed and sworn to before me this _______ day of ______________________, ___________.

                                                                              _________________________________________
                  SEAL                                                        Notary Public
                                                                              My commission expires: __________________


                             This application is available in alternative, accessible formats upon request.



APPROVALS:
       The Mayor and City Clerk will provide written approval only after all other approvals have been obtained.
       The City Clerk's staff will acquire these approvals for applicants.


 Police Chief (or designee): ________________________________________________________________________________
                                                   (2020 Capitol Avenue/637-6535)
 Mayor: ________________________________________________________________________________________________
                                               (2101 O'Neil Ave., Room 310/637-6300)
 City Clerk: _____________________________________________________________________________________________
                                               (2101 O'Neil Ave., Room 101/638-4301)

                                                 FOR USE BY CITY CLERK'S OFFICE:                                   BY: _______________

 M/R # _____________ FEE PAID $ ________________ DATE PAID: _____________ DATE ISSUED: ________________
 COMMENTS: ___________________________________________________________________________________________
__________________________________________________________________________________________________________
         INSTRUCTIONS FOR FINGERPRINTING AND BACKGROUND CHECKS FOR
            SECURITY/DETECTIVE BUSINESSES, MASSAGE THERAPISTS, AND
               PUBLIC TRANSPORTATION BUSINESSES/DRIVERS (TAXI)

Fingerprinting Fee: $20.00 (Exact cash or check made out to Cheyenne City Treasurer)
Background Investigation Fee: $15.00 (Cash only; Division of Criminal Investigations)

Schedule Appointment: (307) 637-6535
Hours for Fingerprinting: Tuesday - Thursday 8:30 - 11:00 am, 1:00 - 3:00 pm
Location: 2020 Capitol Avenue, Cheyenne Police Department

Process:
1.      Obtain application from City Clerk’s Office (2101 O’Neil Ave, Room 101) or on-line at
        www.cheyennecity.org .

2.      Schedule appointment for fingerprinting.

3.      Required:
        a.     Completed application, with exception of signature as this has to be signed in front of a
               Notary
        b.     $20.00 Fingerprinting fee (Pay at Cheyenne Police Dept., 2020 Capitol Ave.)
        c.     Valid/current form of government issued ID (Example: Driver’s License, Passport, Military
               ID).
        Note: Failure to have any of the above requirements, may result in the need to reschedule.

4.      Return application to City Clerk’s Office (2101 O’Neil Ave., Room 101).

5.      After completing the fingerprinting with the Cheyenne Police Department, proceed to the Division of
        Criminal Investigations (DCI) located at 208 South College Drive (south of Transfer Station) with
        fingerprint card and $15.00 cash for investigation fee.


The City Clerk’s Office will notify you following approval of issuance of your business license.

				
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