Skip to Main Content
Emergency Alerts
EBRP CORONAVIRUS INFORMATION
Read On...
Home
Government
Departments
Community
Services
How Do I...
Report Fraud
Home
Form Center
Form Center
Search Forms:
Search Forms
Select a Category
All Categories
City Court
Community Development
Emergency Medical Services
Finance
Fire Department
Fleet Management
Human Development & Services
Information Services
Mayor President Office
Mayor's Office of Homeland Security & Emergency Preparedness
MetroNet
Metropolitan Council
PIO Media
Planning Commission
Police Department
Sobriety Court
Taxicab
Vaccine
By
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress
Taxicab and Vehicles For Hire
This form has been modified since it was saved. Please review all fields before submitting.
Taxicab and Vehicles For Hire
First Name
Last Name
Address
City
State
Zip Code
Phone Number
Fax Number
Date & Time of Incident
*
Date & Time of Incident
Date & Time of Incident
Location of Incident
Email Address
Feedback Type
Compliment
Lost Item(Not Uber & Lyft, Go To TNC Link)
Overcharge
Refuse Fare
Refused to Turn on Meter
Not Accepting Credit Cards
Credit Card Equipment Not Functioning Properly
Driver Conduct
Unprofessional
Refused to Transport Me With My Service Animal
Service
Other
Additional Information About the Incident
Taxi CPNC #(if Known)
Taxi Cab Company (if know)
Driver's Permit Number(if Known)
Driver Name(if Known)
Vehicle Make/Model/Type (if Known)
Would you be willing to come to an administrative hearing if we issue the driver a summons?
Yes
No
Did you receive a receipt?
Yes
No
Do you have a picture of a license/receipt/etc. that you can upload here?
Yes
No
If yes, please click here to upload your file.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
* indicates a required field
Red Stick Ready
Arrow Left
Arrow Right
[]
Slideshow Left Arrow
Slideshow Right Arrow