To submit this form, ensure all sections are completed accurately and collect all required documents. Make an appointment online via www.wigan.gov.uk/taxilicensing to submit the form in person. You may need to provide original documents as evidence of your entitlement to work in the UK, driving license details, and medical fitness. Check that you have signed the form where necessary and that all confirmation boxes are ticked. Consult the attached guidance notes for specific instructions.

Important dates for this form include the start and end dates for license validity, renewal deadlines, and medical examination report validity periods. Validity for the medical report is only for 4 months from the date of the doctor's signature. Keep track of deadlines to ensure timely submission and avoid delays.

The purpose of this form is to apply for a private hire or hackney carriage driver's license within the Wigan Council area. This includes first-time applications and renewals of existing licenses. The form gathers essential information about the applicant, such as personal details, entitlement to work in the UK, driving license details, criminal record check, and medical fitness. Submission of this form is mandatory for individuals seeking to operate as private hire or hackney carriage drivers in Wigan. It ensures that all applicants meet the necessary legal and medical criteria to provide safe and reliable transportation services. Applicants must read and follow the instructions carefully, complete all sections accurately, and provide the required documentation during submission. This form helps streamline the application process and verify the qualifications and suitability of the applicants for licensing.

• 1. Title: Applicant's title, such as Mr, Mrs, Miss, Ms, etc.
• 2. Surname: Applicant's last name.
• 3. Forename(s): Applicant's first name(s).
• 4. Previous Names/Other Aliases: Any other names the applicant has been known by.
• 5. Current Address: Applicant's current residential address.
• 6. Town: Town of the applicant's current address.
• 7. Postcode: Postal code for the applicant's current address.
• 8. Date of Birth: Applicant's date of birth.
• 9. National Insurance No: Applicant's national insurance number.
• 10. Contact Telephone Number(s): Applicant's contact telephone number(s).
• 11. Email Address: Applicant's email address.
• 12. Nationality: Applicant's nationality.
• 13. Place of Birth: Place where the applicant was born.
• 14. Private Hire Operator/Hackney Carriage Proprietor: Information about the private hire operator or hackney carriage proprietor with whom the applicant is employed or intends to work.
• 15. Entitlement to Work in the UK: Confirmation and evidence of the applicant's entitlement to work in the UK.
• 16. Driving Licence Check: Details for the online driving license check, including the license number and check code.
• 17. Criminal Record Check: Confirmation that the applicant is aware of and agrees to the criminal record check carried out by the Licensing Section.
• 18. Medical Fitness: Confirmation that the applicant meets the DVLA group 2 medical standards, including details of any changes in medical condition since the last license grant.
• 19. Other Information: Details of any private hire or hackney carriage driver's licenses held with other local authorities.

Failure to submit this form can result in your application for a private hire or hackney carriage driver's license being rejected or delayed. This may prevent you from legally operating as a driver in Wigan.

• Delay in Application Processing: Late submission can delay the processing of your application, affecting your ability to start or continue working.
• License Rejection: Failure to submit the required form and documents can lead to rejection of your application.
• Non-compliance with Regulations: Not submitting the form on time may result in non-compliance with licensing regulations set by the Wigan Council.
• Legal Consequences: Operating without a valid license can lead to legal issues and fines.

• 1. First-time License Application: Use this form to apply for your first private hire or hackney carriage driver's license.
• 2. License Renewal: Submit this form when renewing your existing private hire or hackney carriage driver's license.
• 3. Change of Operator: Use this form when there is a change in your private hire operator or hackney carriage proprietor.
• 4. Medical Condition Changes: Submit this form to report any changes in your medical condition that may affect your driving.
• 5. Evidence of Entitlement to Work: Use this form to provide evidence of your entitlement to work in the UK.