Middletown, NY · Orange County

Taxi Medallion Application and Renewal

This three-page application is for individuals seeking to operate a taxicab or renew a taxi medallion license in the City of Middletown, New York.

Standard form~15 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Use this form to apply for or renew a City of Middletown taxi medallion license. Applicants provide personal and business details, vehicle information, prior licensing history, and a sworn statement; the form also includes sections for the Chief of Police or designee and the City Clerk’s Office. The instructions call for a $500 annual fee, copies of insurance policies, and an application signed before a notary public.

Who needs it

Anyone applying for or renewing a license to operate a taxicab in the City of Middletown should complete this application and provide the required insurance documents.

Why it needs a notary

The applicant signs the sworn statement in the jurat on page 2, subscribing and swearing to the application before a notary public.

How to get this notarized

  1. 1

    Download the Form

    Get the Taxi Medallion Application and Renewal form from the City of Middletown.

  2. 2

    Fill Out the Application

    Complete the applicant, business, and vehicle sections, and review the instructions about the fee and insurance documents.

  3. 3

    Book an Online Notary

    Arrange a remote session with a commissioned online notary for the sworn statement on page 2.

  4. 4

    Sign on Video

    Sign the applicant statement during the live video session and swear or affirm that the application information is true.

  5. 5

    Submit to the City

    Provide the notarized application and required accompanying documents to the City of Middletown.

Preview the form

The blank PDF straight from Middletown. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the taxi medallion application notarized online?
Complete the application, then book with a commissioned online notary. Sign the sworn statement during a live video session, where the notary verifies your identity and administers the oath before completing the jurat.
Do I need to sign the application in front of a notary?
Yes. The form instructs the applicant to sign before a notary public, and page 2 provides a jurat for the applicant’s sworn statement.
Can I use an online notary for this application?
New York authorizes remote online notarization by its own notaries under Executive Law §135-c, effective in 2023. Use a commissioned online notary and check with the City if it has specific submission requirements.
What else must accompany the application?
The form lists a $500 annual license fee and says copies of insurance policies must accompany the application. It also includes sections for vehicle inspection and insurance details to be completed by city officials.
Where do I submit the completed application?
The form is for the City of Middletown. Confirm the submission process and any current requirements with the city; confirm with the city, town or village if unsure.

Ready to notarize your Taxi Medallion Application and Renewal?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.