Municipal License - Taxi Application

Municipal Code Chapter 101.26

Application Process

Complete the following application accurately - copies are also available or in the Clerk's Office.
- If you are unsure about how to respond to any questions on this form, check with the City Clerk for clarification.
Applicant must submit either as uploads in the following application, emailed to clerk@richalandcenterwi.gov, or delivered to the Clerk's Office
- Certificate of Insurance with a minimum of $1,000,000 liability insurance
- Copy of Wisconsin Company Operating License
- A current driver's license or photo ID for applicant and each driver
$100 license fee in addition to a $2 application fee per driver is required prior to issuing the license - online payments are accepted.
Contact the Richland Police Department to schedule an inspection for each vehicle in your fleet, (608) 647-2103.

Review of your application

The Richland Center Police Department will perform a background check to verify the information you have provided.
The city may require that additional information, appropriate to the specific type of license requested, be submitted with this application or as a supplement to this application prior to consideration of license issuance.
City Council will review your application for approval at the next regular monthly meeting.
- If you are asked to appear before the council but choose not to do so, your application may be denied.
All annual licenses expire on December 31st.

Supporting Documents

Taxi Municipal License Application (922 KB)

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Applicant Information

Last Name *

First Name *

Middle Initial *

Date of Birth *

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Driver's License Number *

Residence Street Address *

City, State, Zip Code *

Mailing Address

if different than above

Phone Number *

Email *

Other Identifying Names

maiden name or aliases, etc.

Business Information

Business Name *

DBA Name

if applicable

Street Address *

City, State, Zip Code *

Phone Number *

Business Email

Wisconsin Company Operating License Number *

Insurance Carrier *

Policy Number *

Surety Bond Amount $

Vehicle Information

Vehicle 1 Information *

Please include the following information: License Plate Number, Make, Model, Year, and Color

Vehicle 2 Information

Please include the following information: License Plate Number, Make, Model, Year, and Color

Vehicle 3 Information

Please include the following information: License Plate Number, Make, Model, Year, and Color

Vehicle 4 Information

Please include the following information: License Plate Number, Make, Model, Year, and Color

Vehicle inspection has been scheduled with the City Police Department on the following date

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Infraction History

Have you ever been convicted of any felony or misdemeanor crime? *

Yes

List CONVICTIONS for citations, tickets, municipal/ordinance violations, or criminal charges (excluding parking tickets)

Include: Year, Charge, and Court Location

Do you currently have any felony or misdemeanor charges pending against you? *

Yes

List PENDING citations, tickets, or criminal charges (excluding parking tickets)

Include: Year, Charge, and Court Location

Driver Addendum

Driver 1 Name *

Driver 1 Information *

Please include the following information: Date of Birth, Residential Address, and Position

Driver 2 Name

Driver 2 Information

Please include the following information: Date of Birth, Residential Address, and Position

Driver 3 Name

Driver 3 Information

Please include the following information: Date of Birth, Residential Address, and Position

The undersigned, by signing this application, hereby authorize and consent to such inquiry and/or investigation as the City of Richland Center deems necessary to determine whether this applicant and/or the application meets all requirements of the ordinances of the City for the issuance of said license. I further certify I understand that any material falsification in the application may be basis for denial of the application or the revocation of any license issued by the city pursuant to this application.

Applicant Virtual Signature *

Applicant must provide the following items to complete the application:

Certificate of Insurance with a minimum $1,000,000 liability insurance

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

Copy of Wisconsin Company Operating License

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

Copy of Applicant's Driver's License

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc.

City Clerk / Treasurer

Contact Information

Address:
City of Richland Center Municipal Building
450 South Main Street
Richland Center, WI 53581

Phone:
(608) 647-3466

Fax:
(608) 647-8360

Hours:
Monday - Friday:

8:00 AM to 4:30 PM

View Full Contact Details