2. Application for License for Vehicle(s) for Hire

4. Company
5. Date
7. Name of Applicant
9. Place of Residence
11. Social Security Number
12. Driver's License Number
14. Date of Birth
15. Place of Birth
16. Length of Time Applicant Has Been an El Dorado Resident
18. Business Address
20. Two References Whom are El Dorado Citizens
22. Vehicle Information:
24. Type of Vehicle(s)
26. Make
27. Model
29. Factory I.D. Number
30. Vehicle Tag Number
32. Seating Capacity
34. Name of Owner(s)
36. Does applicant hold a valid driver’s license as required by current federal and state laws for the type of vehicle the applicant will be driving?

    1. YES
    2. NO
38. Applicant is willing to be photographed and fingerprinted by the police department?

    1. YES
    2. NO
40. Applicant is willing to submit to a written examination on the driving laws of the state as well as any item concerning the operation of vehicles for hire as provided by the city of El Dorado municipal code?

    1. YES
    2. NO
42. Applicant will submit to a driver’s test, if required by the police department?

    1. YES
    2. NO
44. Has applicant been convicted of a felony or of any violation of the intoxicating or alcoholic liquor laws of the state or ordinances of the city within the last two years?

    1. YES
    2. NO
46. Does applicant possess any physical disability or disease that would impair his/her ability to safely operate the type of vehicle for which application is made?

    1. YES
    2. NO

48. Upon receipt of this application, you will be contacted for a driver’s registration fee of $5.00 per driver. This shall not be prorated for a portion of a year. Driver’s registrations are renewable annually prior to January 1st. Renewal fees are $5.00, and there shall be no reductions for a portion of a year. Any person who shall drive his/her own vehicle shall not be required to pay the driver’s registration fee but shall be required to register as a driver. I certify that all information contained in this application is accurate. 

50. Signature of Applicant
51. Date

53. Vehicle Requirements

55. An insurance policy for each vehicle must accompany this application, providing proof of insurance coverage for bodily injury and property damage in an amount not less than required under the Kansas financial responsibility laws. Along with a copy of the applicant’s driver license. 

    Upon approval of your application, you will be contacted for a license fee of $50 per vehicle. This amount shall not be prorated for a portion of the year.

    Vehicle licenses are renewable annually on or before January 1st of each year. Renewal fees are $50.00, and there shall be no reductions for a portion of a year.

    I certify that all information contained in this application is accurate. 

57. Insurance Policy
59. Signature of Applicant
60. Date
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

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