Tlc affirmation form 2026

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The document is an affirmation form for requesting a replacement credential from the Taxi and Limousine Commission (TLC) in New York City. It outlines the process for reporting lost, stolen, or damaged credentials such as TLC driver licenses, medallion permits, and rate cards. The form requires personal information, acknowledgment of legal responsibilities regarding the original credential, and confirmation of no outstanding judgments with relevant authorities. It also includes sections for TLC personnel to complete upon processing the request.

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Click ‘Get Form’ to open the tlc affirmation form in the editor.
Begin by entering your full name and TLC credential number in the designated fields. Ensure accuracy as this information is crucial for processing your request.
In the section that asks you to check all applicable credentials, select the items that apply to your situation: TLC Driver License, Medallion TIN, SHL Permit, FHV Decal, Medallion Rate Card, or SHL Rate Card.
Indicate the condition of your credential by checking one of the options: Lost, Damaged, Stolen, or Mutilated. This helps clarify your request for a replacement.
Review the statements regarding outstanding judgments and penalties. Confirm your understanding by signing and dating the affirmation at the bottom of the form.

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Tlc affirmation form 2026

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