{"id":120469,"date":"2021-10-28T11:21:48","date_gmt":"2021-10-28T18:21:48","guid":{"rendered":"https:\/\/www.dmv.ca.gov\/portal\/?page_id=120469"},"modified":"2026-05-29T16:21:14","modified_gmt":"2026-05-29T23:21:14","slug":"dmv-autonomous-vehicles-feedback-form","status":"publish","type":"page","link":"https:\/\/www.dmv.ca.gov\/portal\/dmv-autonomous-vehicles-feedback-form\/","title":{"rendered":"Autonomous Vehicles Incident Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><form method='post' enctype='multipart\/form-data'  id='gform_97'  action='\/portal\/wp-json\/wp\/v2\/pages\/120469' data-formid='97' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfZ0G0tAAAAAEBzta0q4NKRq94mNgl29kO5_QS9' data-tabindex='0'><input id=\"input_9d82168f6203fc2d3be2d9c0a1f06017\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_9d82168f6203fc2d3be2d9c0a1f06017\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_97' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_97_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Please do not include any sensitive personal information such as your social security number, driver license number, or financial account number on the form.<\/p>\n<p>Fields with an asterisk (*) are required.<\/p>\n<p>If you do not have the specific information required, please type unk or unknown in the field.<\/p><\/li><li id=\"field_97_3\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Autonomous Vehicle Information<\/h2><\/li><li id=\"field_97_5\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_5'><span class='gform-field-label__text'>Date of Incident<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='mm\/dd\/yyyy'\n\t\t\t\t\tid='input_97_5'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_5'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_97_5' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_97_5' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_97_5' aria-label='Date of Incident: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_97_6\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_6'><span class='gform-field-label__text'>Location Observed<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_97_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_7\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_7'><span class='gform-field-label__text'>Make &amp; Model<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_97_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_8'><span class='gform-field-label__text'>License Plate Number<\/span><\/label><div class='ginput_container ginput_container_text' data-text-counter-max='7' data-text-counter-template='{current} of {max} max characters'><input name='input_8' id='input_97_8' type='text' value='' class='large' maxlength='7'     aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_9\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_9'><span class='gform-field-label__text'>Company (if known)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_97_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_97_10\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_10'><span class='gform-field-label__text'>Description<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\"> * <span class='sr-only'> Required<\/span><\/span><\/span><\/label><div class='gfield_description' id='gfield_description_97_10'>Please provide a description of the incident.<\/div><div class='ginput_container ginput_container_textarea' data-text-counter-max='1000' data-text-counter-template='{current} of {max} max characters'><textarea name='input_10' id='input_97_10' class='textarea large'  aria-describedby=\"gfield_description_97_10\" maxlength='1000'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_97_12\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Contact Information<\/h2><p>If you would like to provide any additional feedback, please submit your contact information.<\/p><\/li><li id=\"field_97_13\" class=\"gfield gfield--type-name field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row' id='input_97_13'>\n                            \n                            \n                            \n                            <span id='input_97_13_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_13.6' id='input_97_13_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_97_13_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><\/li><li id=\"field_97_14\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_14'><span class='gform-field-label__text'>Phone Number<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_97_14' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_97_15\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_15'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_97_15' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_97' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_97' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' 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value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_97' id='gform_target_page_number_97' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_97' id='gform_source_page_number_97' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\n\n<h2 class=\"wp-block-heading\">Notice on Collection of Personal Information<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Providing Personal Information Is Voluntary<\/strong>. You do not have to provide the personal information requested. If you do not wish to provide personal information, such as your name, home address, or home telephone number, you may remain anonymous. In that case, however, we may not be able to contact you or conduct further investigation into your complaint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For more information, visit the Department of Motor Vehicle\u2019s\u00a0<a href=\"\/portal\/customer-service\/records-request\/#records-types-of-information\">DMV and Your Information<\/a>\u00a0page.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a target=\"_blank\" href=\"https:\/\/oag.ca.gov\/privacy\/online-privacy\" rel=\"noreferrer noopener\">OAG Online Privacy Page<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Notice on Collection of Personal Information Providing Personal Information Is Voluntary. You do not have to provide the personal information requested. If you do not wish to provide personal information, such as your name, home address, or home telephone number, you may remain anonymous. In that case, however, we may not be able to contact [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ep_exclude_from_search":true,"dmv_page_popups":[],"dmv_ribbon_color":"","dmv_top_illustration":"","dmv_page_title":"","dmv_page_subtitle":"","dmv_allowed_editors":[],"footnotes":""},"categories":[],"tags":[14954,14957],"dmv_task":[364],"dmv_functional_page_type":[70],"dmv_content_type":[],"class_list":["post-120469","page","type-page","status-publish","hentry","tag-av-incident","tag-report-autonomous-vehicle-incident","dmv_task-contact-cust-svc","dmv_functional_page_type-resource-portal"],"featured_image_src":null,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Autonomous Vehicles Incident Form - California DMV<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Autonomous Vehicles Incident Form - California DMV\" \/>\n<meta property=\"og:description\" content=\"Notice on Collection of Personal Information Providing Personal Information Is Voluntary. 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