Dismantler’s Handbook of Registration Procedures

Section 7 of 11

Forms

7.040 Dismantler’s Forms

The following forms, mentioned throughout the handbook, may be required for obtaining a dismantler’s license or processing dismantler’s transactions.

Form NumberForm Title
Form NumberADM 1316
Form TitleFingerprint Card (out-of-state applicants only)
Form NumberADM 9050
Form TitleAppointment of Director as Agent for Service of Process
Form NumberBOE 1138***
Form TitleCertificate of Excise Tax Clearance
Form NumberDMV 8016
Form TitleRequest for Live Scan Service
Form NumberFO 247*
Form TitleTransmittal of Registration Applications
Form NumberOL 12*
Form TitleApplication for Original Occupational License, Part C
Form NumberOL 15*
Form TitleCorporate Officer and/or Director Change
Form NumberOL 15A*
Form TitleLimited Liability Company Member and/or Manager Change
Form NumberOL 21*
Form TitleApplication for Modifications to an Occupational License
Form NumberOL 21A*
Form TitleOriginal Application for Occupational License, Part A
Form NumberOL 21D*
Form TitleRenewal Addendum Application for Occupational License
Form NumberOL 22*
Form TitleApplication for License Plates, Stickers, Registration Card
Form NumberOL 29*
Form TitleApplication for Occupational License, Personal History Questionnaire, Part B
Form NumberOL 45*
Form TitleRenewal Application
Form NumberOL 62*
Form TitleZoning Verification for Vehicle Dismantler’s License
Form NumberOL 249A*
Form TitleDismantler Application Check List
Form NumberOL 395D*
Form TitleDismantler Acquisition, REG 42 Order Form
Form NumberREG 42**
Form TitleReport of Vehicle To Be Dismantled (upper portion), Dismantlers Notice of Acquisition (lower portion)
Form NumberREG 104
Form TitleNotice-Removal of Abandoned Vehicle
Form NumberREG 138*
Form TitleNotice of Transfer and Release of Liability
Form NumberREG 166*
Form TitleLien Satisfied/Title Holder Release
Form NumberREG 168*
Form TitleCertification of Lien Sale for Vehicle Valued Over $4,000 or From a Self-Service Storage Facility
Form NumberREG 168A*
Form TitleCertification of Lien Sale for Vehicle Valued $4,000 or Less
Form NumberREG 227*
Form TitleApplication for Duplicate Title
Form NumberREG 256*
Form TitleStatements of Facts
Form NumberREG 280*
Form TitleNotice of Pending Lien Sale for Vehicle Valued Over $4,000 or From a Self-Service Storage Facility
Form NumberREG 343*
Form TitleApplication for Title or Registration/ Verification of Vehicle
Form NumberREG 462
Form TitlePublic Agency Authorization To Dispose of a Vehicle to a Scrap Iron Processor or Dismantler Valued at $500 or Less
Form NumberREG 488C*
Form TitleApplication for Salvage Certificate or Nonrepairable Vehicle Certificate
Form NumberREG 489
Form TitleSalvage Certificate
Form NumberREG 490
Form TitleNonrepairable Vehicle Certificate
Form NumberREG 656*
Form TitleApplication for Lien Sale Authorization and Lienholder’s Certification
Form NumberREG 659*
Form TitleApplication for Authorization To Continue Lien Sale After Unsuccessful Service
Form NumberREG 668*
Form TitleNotice of Pending Lien Sale for a Vehicle Valued $4,000 or Less
Form NumberREG 684* (side A)
Form TitleNotice of Intent To Dispose of a Vehicle Valued at $500 or Less Removed by a Public Agency for Reasons Other Than Abandonment
Form NumberREG 684* (side B)
Form TitleNotice of Intent To Dispose of a Vehicle Valued at $500 or Less Removed by a Public Agency
Form NumberREG 686* (side A)
Form TitleStatement of Facts for Vehicles Valued at $500 or Less Removed by a Public Agency for Reasons Other Than Abandonment
Form NumberREG 686* (side B)
Form TitleStatement of Facts for Vehicles Valued at $500 or Less Removed by a Public Agency

* Forms available on the Internet at dmv.ca.gov
** To order REG 42 forms, see Section 7.010
***Only available from the Board of Equalization, see Section 2.050


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