REG 156 (REV.
9/2013) WWW
APPLICATION FOR REPLACEMENT
PLATES, STICKERS, DOCUMENTS
Complete all sections of this form and submit to any DMV office or mail to:
DMV, P.O. Box 942869, Sacramento, CA 94269-0001
NOTE: There is a fee to replace most items.
For current fee information, see www.dmv.ca.gov, or call 1-800-777-0133.
DMV USE ONLY
DL/ID/OL NUMBER
CA
O/S
DL/ID NUMBER (IF PRIOR RDF)
CA
O/S
NUMBER OF PLATES SURRENDERED TECHS INITIALS
OFFICE DATE ID #
VEHICLE LICENSE PLATE/CF NUMBER MAKE VEHICLE ID NUMBER/HULL ID NUMBER
DISABLED PERSON (DP) PLACARD NUMBER BIRTH DATE, IF DP PLACARD ENGINE NUMBER (MOTORCYCLES ONLY)
SECTION A: REGISTERED OWNER OF RECORD (Please Print)
TRUE FULL NAME (LAST, FIRST, MIDDLE) OR BUSINESS NAME DRIVER LICENSE/ID CARD NUMBER
CO-OWNER TRUE FULL NAME (LAST, FIRST, MIDDLE) DRIVER LICENSE/ID CARD NUMBER
PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST., AVE., RD., CT., ETC.) APT./SPACE/STE. # CITY STATE ZIP CODE
COUNTY OF RESIDENCE OR COUNTY WHERE VEHICLE/VESSEL IS PRIMARILY GARAGED
MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ABOVE) APT./SPACE/STE. # CITY STATE ZIP CODE
SECTION B: PLATES, STICKERS, DOCUMENTS REQUEST I am requesting replacement of (Check appropriate box(es)):
NOTE: For replacement of missing License Plate, License Sticker, or DP Placard, if the original item is later located or received, the original
item is no longer valid and must be destroyed or returned to DMV.
License Plates Vessel (Boat) Year Sticker Disabled Person (DP) Placard CVRA Weight Decal
Registration Card Vessel Certifcate of Number Disabled Person (DP) ID Card CVRA Year Sticker
Year Month Sticker Vessel Mussel Sticker Planned Non-Operation (PNO) Card Trailer or OHV ID Card
SECTION C: PLATES, STICKERS, DOCUMENTS INFORMATION The item requested was (Check appropriate box(es)):
Lost Stolen Destroyed/Mutilated (remnants/remains of the plate(s) must be surrendered to DMV)
Not Received from DMV (Allow 30 days from issue date before reapplying) Not Received from Prior Owner
Surrendered to DMV Number of plates surrendered One Two
Special Plates (Personalized [ELP], Disabled Person [DP], Disabled Veteran [DV]) were Retained by Owner
Requesting Registration Card with Current Address
Per CVC 4467 Copy of a police report, court documentation, or other law enforcement documentation required.
Other Explain:
SECTION D: MISSING LICENSE PLATE APPLICATIONS
If your address is different from that which appears in the records of the department, you must appear in person at a Department of Motor
Vehicles office and bring an original or facsimile copy of proof of ownership (e. g., Certifcate of Title, or Registration Card, or Registration
Renewal Notice), and your Driver License or Identifcation Card. If the license plate(s) were stolen, a copy of a police report identifying the
plate(s) as stolen is required. If license plates have been replaced within the last 90 days, a CHP verifcation is required.
Check appropriate box:
One license plate missing (automobiles/two-plate commercial vehicles/pick-ups only). The remaining plate must be surrendered to DMV.
Two license plates are missing or one license plate is missing for a single-plate commercial truck tractor, motorcycle, or trailer. The registered
owner must immediately notify a law enforcement agency (e.g., police or sheriffs dept., CHP, etc.).
SECTION E: CERTIFICATION
The registered owner mailing address is valid, existing, and an accurate mailing address. I consent to receive service of process at this
mailing address pursuant to CVC 1808.21, Code of Civil Procedure 415.21(b), 415.30(a), and 416.90.
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
PRINT TRUE FULL NAME TITLE IF SIGNING FOR COMPANY DAYTIME TELEPHONE NUMBER
( )
SIGNATURE OF REGISTERED OWNER
X
DATE
A Public Service Agency
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