Applications for a taxicab driver license shall be obtained and shall be filed with the Board. Such applications shall be verified under oath and shall contain the following:
(A)
The name and address of applicant.
(B)
The number of a valid Indiana chauffeur's license issued to applicant, and date of license expiration.
(C)
A statement of whether the applicant's driver license (of any type issued by any state) has ever been revoked or suspended and, if so, the reason for such revocation or suspension together with the applicant's current Bureau of Motor Vehicles driver's license abstract extending back seven years.
(D)
A list of each conviction of the applicant. The list shall, for each such conviction, set forth the date of arrest, the offense charged, and the offense of which the applicant was convicted.
(E)
A list of the applicant's physical or mental disabilities or incapacities. With respect to each such disability or incapacity, applicant shall state whether the same would interfere with the proper management and control of a motor vehicle.
(F)
A statement as to whether applicant is or ever has been addicted to the use of alcohol or any controlled substance defined in the state code.
(G)
A list of all prescription medication which applicant takes on a regular or episodic basis.
(H)
Such other information as may be required by the Board to further the purpose of this chapter.
(I)
The applicant shall consent to and authorize a criminal background check and shall provide fingerprints and execute requisite forms and supply the prescribed fees to facilitate such check. The applicant shall consent to and authorize a seven-year driver's license history.
(Ord. 1038-2001; Code 2000 § 111.25)