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Please fill in the following form so that one our advisors can get in touch with you.
Title: Required
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Mr
Mrs
Miss
Ms
Dr
Mx
Preferred contact method: Required
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Email
Telephone
Secondary phone
Post
Preferred contact time: Required
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08:45 - 10:00
10:00 - 12:00
12:00 - 15:30
15:30 - 17:15
Please give as many details of the taxi/private hire vehicle involved
Description of driver:
Maximum 2000 characters. Details can include; gender, age, build, ethnicity, hair colour, facial Hair, glasses, badge number and any distinguishing features.
The incident happened at:
What were you doing?
Maximum 2000 characters. Were you a passenger in vehicle? Driving another vehicle or walking on pavement?
Please describe, in as much detail as possible, what happened (maximum 2000 characters): Required
What was the outcome of the incident? Required
Declaration
Where complaints are substantiated, range of enforcement, formal, informal, suspension etc. Witness statement submitted to court etc.
This statement is true to the best of my knowledge and belief and I make it knowing that if it is tendered in evidence, I shall be liable to
Prosecution if I have wilfully stated in it anything which I know to be false or do not believe to be true.
Attach files
If you would like to attach a file to your request, eg a photo, please do so here. You can attach more than 1 file.
Acceptable file types are: .avi, .doc, .docx, .flv, .gif, .jpg, .mov, .mp4, .mpeg4, .mpegps, .pdf, .png, .wmv.
Please complete the validation below:
Here are some licence plate examples:
Hackney carriage licence plates:
Private hire licence plates:
Taxi drivers id cards:
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