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application for replacement plates, stickers, documents ...

REG 156 (REV. 9/2013) WWWAPPLICATION FOR replacement PLATES, STICKERS, DOCUMENTSC omplete all sections of this form and submit to any DMV office or mail to: DMV, Box 942869, Sacramento, CA 94269-0001 NOTE: There is a fee to replace most current fee information, see , or call USE ONLYDL/ID/OL NUMBER CA O/S DL/ID NUMBER (IF PRIOR RDF) CA O/S NUMBER OF PLATES SURRENDEREDTECHS INITIALSOFFICE DATE ID #VEHICLE LICENSE PLATE/CF NUMBERMAKEVEHICLE ID NUMBER/HULL ID NUMBERDISABLED PERSON (DP) PLACARD NUMBERBIRTH DATE, IF DP PLACARDENGINE NUMBER (mOtORcycles Only)SECTION A: REGISTERED OWNER OF RECORD (Please Print)TRUE FULL NAME (lAst, FIRst, mIDDle) OR BUSINESS NAMEDRIVER LICENSE/ID CARD NUMBERCO-OwNER TRUE FULL NAME (lAst, FIRst, mIDDle)DRIVER LICENSE/ID CARD NUMBERPHYSICAL RESIDENCE OR BUSINESS ADDRESS (IncluDe st., Ave., RD., ct., etc.) #CITYS TAT EZIP CODECOUNTY OF RESIDENCE OR COUNTY wHERE VEHICLE/VESSEL IS PRIMARILY GARAGED MAILING ADDRESS (IF DIFFeRent FROm PhysIcAl AbOve) #CITYS TAT EZIP CODESECTION 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License Plate, License Sticker, or DP Placard, if the original item is later located or received, the original item is no longer valid and must be destroyed or returned to DMV.

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

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