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Transportation Network Company (TNC) License Renewal Affidavit
Note that this affidavit is applicable to current licensees whose information and statements contained in their last approved application have not changed. If an unapproved change has occurred, please notify the City Clerk Department at cityclerk@cityblm.org immediately.

Below is a list of the document(s) that are required in order for your renewal to be considered complete.

Required Documentation
The following are required to be submitted by all licensees looking to renew their current license(s).
  1. Affidavit of License Renewal - By signing the affidavit, the representative verifies that no significant changes have been made to the business operations or premises.
  2. Priority Contacts and Ownership Details Form for Current Licensees. The form can be completed by clicking here.
  3. A clear photocopy of Government Issued photo IDs for each owner over 20% and Managers of the business. To be accepted, your ID copies must be completely shown in the picture and not be blurry.
  4. A list of driver’s information, which must include the following:
    1. Full First Name, Middle Initial, and Last Name;
    2. Driver’s License Numbers; and
    3. Full Addresses of Drivers Registered with the applicant as of the date of the application (or renewal) who will be providing TNC services in the City of Bloomington and the Town of Normal
Conditional Document Requirements
The following are required to be active and on file at all times for all licensees. If the document listed below is currently active and on file, there is no need to include it with your submission.
  1. Certificate of Liability Insurance (Not Policy Declarations). To be accepted, your Certificate of Liability Insurance must include all of the following:
    1. Insured Name — The applicant’s name must be listed as the insured. If the applicant is a corporation, the corporation’s legal name must appear here.
    2. DBA/Assumed Name (if applicable) — If you plan to use a business name that is different from your legal entity name, you must register that name (DBA/Assumed Name) with either the State of Illinois or McLean County.
    3. Establishment Address — The address of the location where business is operated.
    4. Coverage Dates & Minimum Coverage Limits listed as required by (625 ILCS 57/10);
    5. Additional Insured — The City of Bloomington must be listed as an Additional Insured (can be included in the “Description of Operations” box).
      1. Please ensure the phrase “only when required by written contract” or similar is not included as the license application is not considered a contract between the City and the applicant.
    7. Certificate Holder — The following must be listed in the Certificate Holder section (bottom left of the form):
      1. City of Bloomington, 115 E. Washington St., Bloomington, IL 61701
Additional Requirements
The following are required in order for renewal to be considered, but documentation is checked internally so there is no submission requirement unless specifically requested.

Doing Business As (DBA)/Assumed Name Registration
DBA/Assumed Names are required to be Registered if the Public-Facing Name is not an exact match to the Legal Entity Name (Example: If ABC Biz, LLC uses the name ABC Pizza with the public, then ABC Pizza must be registered. If ABC Pizza, LLC uses the name ABC Pizza, no need to be registered.)

To register your DBA/Assumed Name. You can find registration information at:
  1. State of Illinois – Assumed Name Registration (Corporations and LLCs); or
  2. McLean County – Doing Business As (DBA)/Assumed Name Registration
All Licensed Entities must be in Good Standing with the State of IL
All entities holding a license must remain in good standing with the State of Illinois. Note that this requirement does not apply to those who are not classified as entities with the State of Illinois.

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All documents can be uploaded by clicking the paperclip on the top-left of the form.
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04/15/2026Click to Sign
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04/15/2026
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Additional Signatures Required

Upload Attachment(s)

Please upload the following attachments only if they have expired or are set to expire prior to the end of the renewal period (05/01). There is a 250MB limit on each attachment.

Certificate of Liability Insurance Click Here to Upload
Copy of IDs - Anyone over 20 Percent Ownership and All Managers - Must be Labeled Click Here to Upload
A list of driver’s information, which must include the following: Full First Name, Middle Initial, and Last Name; Driver’s License Numbers; and Full Addresses of Drivers Registered with the applicant as of the date of the application (or renewal) who will be providing TNC services in the City of Bloomington and the Town of Normal Click Here to Upload