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Get Tlc Refund

TLC REFUND CLAIM FORM Reason for refund please check one I appeared at a hearing and my case was dismissed. I filed an appeal and the decision on my initial case was reversed or dismissed. I posted a bond for my vehicle that was seized appeared at a hearing and paid a fine or the case was dismissed and am entitled to the balance of the bond the bond will only be returned to the registered owner of the vehicle. Please print clearly Last name First name Middle Initial M. I. Address Street Apt. City State Zip Code Telephone - TLC License If applicable Expiration Date / / Amount claimed as refund All claims must have copies of the relevant supporting documents attached Notice of Decision for claims involving hearings and appeals Bond Receipt Form OJE Form 102 Copy of TLC receipt for payment if paid with currency in person and/or Copy of money order receipt canceled check and/or credit card receipt Please keep all original documents with your records. Please mail to New York City Taxi Limousine Commission Attention Refund Claim Unit 33 Beaver Street 19th Floor New York NY 10004 Your Signature Date / / PLEASE NOTE Incomplete or incorrect forms will not be processed. If you are entitled to a refund check a check will be mailed to you in about 6-8 weeks. For other reasons please explain attach additional pages if needed Please note as stated on all license application forms application fees are not refundable. Please print clearly Last name First name Middle Initial M. I. Address Street Apt. City State Zip Code Telephone - TLC License If applicable Expiration Date / / Amount claimed as refund All claims must have copies of the relevant supporting documents attached Notice of Decision for claims involving hearings and appeals Bond Receipt Form OJE Form 102 Copy of TLC receipt for payment if paid with currency in person and/or Copy of money order receipt canceled check and/or credit card receipt Please keep all original documents with your records. Please mail to New York City Taxi Limousine Commission Attention Refund Claim Unit 33 Beaver Street 19th Floor New York NY 10004 Your Signature Date / / PLEASE NOTE Incomplete or incorrect forms will not be processed* If you are entitled to a refund check a check will be mailed to you in about 6-8 weeks. A check will not be delivered to an incorrect address which may delay your refund. Do not use this form to claim a refund of towing and storage fees paid to Knight Collision Experts Inc* Refund claims must be made to that entity directly. For other reasons please explain attach additional pages if needed Please note as stated on all license application forms application fees are not refundable. Please print clearly Last name First name Middle Initial M. I. Address Street Apt. City State Zip Code Telephone - TLC License If applicable Expiration Date / / Amount claimed as refund All claims must have copies of the relevant supporting documents attached Notice of Decision for claims involving hearings and appeals Bond Receipt Form OJE Form 102 Copy of TLC receipt for payment if paid with currency in person and/or Copy of money order receipt canceled check and/or credit card receipt Please keep all original documents with your records.

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