Incoming Electronic Deposit Notification Form  

Taxicab Company:      
Taxicab Company Contact Employee:    
Contact Phone No.:      
Contact Fax:   
Today's Date:   
Amount of Expected Deposit:    
Total Number of Trips:    
            Trip Charges Total ($0.20 per trip):    
            Technology Fee Total ($0.05 per trip):    
Description of Payment:
In accordance with NAC 706.507 and NRS 706.471, funds must be deposited in the Taxicab Authority account by 5:00pm on or before the 10th day of each month.  
If you have any questions, please contact the Taxi Cab Authority at (702) 668-4000.