Kirklees Council Licensing Department
Town Police Clauses Act 1847/Local Government (Miscellaneous Provisions) Act 1976

Change of Details Form
Including change of personal details or cherished number plate

If your change relates to a cherished number plate then you will need to submit the up to date V5 document and insurance.
Title:
		
Previous Surname:
		
Previous Forenames:
		
Previous Address:

		
Post Code
		
Previous Vehicle Registration
		
Title:
		
New Surname:
		
New Forenames:
		
New Address:

		
Post Code
		
New Vehicle Registration

Date of Changes: ……………………………………………………………………………………..

I hereby declare that the above information is true and correct

Signature……………………………………………………………    Date:…………………………………….

Personal Data
We have recently updated our Privacy Notice in accordance with the Data Protection Act 2018 about how we use personal data provided to the Council. Further information can be found at… 
http://www.kirklees.gov.uk/beta/information-and-data/pdf/privacy-notice-taxi-licenses.pdf