Drop-Off Permit Application

On January 3, 2024, the Village Board passed Ordinance 24-01 regarding the operation of commercial motor vehicles which involve the disembarking of three (3) or more passengers in the Village engaged in the transport of individuals seeking assistance. This ordinance created a new chapter entitled Chartered Transportation Drop-Off License to Title 3 – Business Regulations of the Village Code.

This new Chapter requires the owner, operator, or driver of any Drop-Off Commercial Motor Vehicle to coordinate drop-offs with the Village and submit a drop-off permit application (see below) to the Police Department at least five (5) days before the proposed disembarking date. Full details of the ordinance and application may be viewed at the above link.

Any drop-off commercial motor vehicle that is used in the Village in violation of section 3-8-2 of this chapter may be seized and impounded. Any person, corporation, firm, or partnership as owner or operator of an unpermitted commercial motor vehicle found guilty of violating any provision of this chapter shall be jointly and severally liable for a fine in the amount of $10,000 plus $1,000 per passenger, excluding the driver.

APPLICATION TO COORDINATE DROP-OFF

The owner, operator, or driver of any Drop Off Commercial Motor Vehicle shall file an application with the Village's Police Department. The completed application shall contain all required information set forth in Village Code 3-8-2(B) and shall be submitted at least five (5) calendar days prior to the date of the proposed disembarking date.

OPERATOR / OWNER / DRIVER
Operator Name

Name of company providing commercial transportation services for hire.
Operator Address*
Street Address Address Line 2 City State ZIP Code
Operator Phone - landline*
Operator Phone - mobile for primary contact
Is Owner the same as Operator?*
- Yes
- No
Owner Name*
Owner Address*
Street Address Address Line 2 City State ZIP Code
Owner Phone - landline*
Owner Phone - mobile for primary contact*
Driver Name*
First Last
Driver's License Number*
Driver's License State of Issurance*
Driver Address
Street Address Address Line 2 City State ZIP Code
Driver Phone - landline*
Driver Phone - mobile*
ORGANIZER / FINANCIER
Organizer / Financier Name*
Organizer / Financier Address*
Street Address Address Line 2 City State ZIP Code
Organizer / Financier Phone - landline*
Orgnaizer / Financier - mobile*
PASSENGERS
List*
First Name Middle Name Last Name
Upload Copies of Passenger Identification*
Accepted file types: pdf, Max. file size: 50 MB.
Copies of identification for said passenger(s) are required to the extent such identification exists and is in the possession of the passenger(s).
DISEMBARKATION DETAILS
Proposed Name, Address, or Location to Allow Passenger(s) to Disembark*
Proposed Date Passenger(s) will Disembark*
MM slash DD slash YYYY

Must be at least five (5) days after submission of this application form.
Proposed Time Passenger(s) will Disembark*

: Hours

Minutes

AM/PM
Passenger Disembarkation - Care Plan*
A detailed plan identifying how the arriving passengers will be cared for, housed, and fed, either temporarily or permanently, upon disembarking in the Village.
Name of Person Primarily Responsible for Post-Disembarkation Care*
First Last
Address of Person Primarily Responsible for Post-Disembarkation Care*
Street Address Address Line 2 City State ZIP Code
Mobile Phone of Person Primarly Responsible for Post-Disembarkation Care*
Email
This field is for validation purposes and should be left unchanged.

First Name	Middle Name	Last Name

APPLICATION TO COORDINATE DROP-OFF

OPERATOR / OWNER / DRIVER

ORGANIZER / FINANCIER

PASSENGERS

DISEMBARKATION DETAILS