Region of Waterloo Form

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Taxi Broker

New Application or Renewal Form

Application Type

New Broker Licence Application

Renewal Broker Licence Application

Brokerage Information:

Legal Name of Brokerage

Business Name (AKA)

Principal's First Name

Principal's Last Name

Street Address

City

Postal Code

Business Phone Number

Cell Phone Number

Email:

Brokerage Licence Requirements:

Attach copies of your Articles of Incorporation and a list of full names and dates of birth for all officers/directors if any changes. Provide a Certificate of Insurance for the business showing $5 million in liability.

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