OL 247, Report or Replace Lost, Stolen, or Surrendered ...

1 OL 247 (REV. 3/2020) WWWREPORT OR Replace LOST, STOLEN, OR Surrendered OCCUPATIONAL LICENSE SPECIAL PLATESDMV USE ONLYOL NUMBERLICENSE EXPIRATION DATESTOPS: YESNOI nstructions: Print clearly or complete online and print. surrender unwanted plates, permanent registration cards, and unused stickers to Occupational Licensing with this form. Replacement plates must be ordered at the time plates are reported lost, stolen or mutilated. If not ordered at the timethey are reported lost, stolen, or mutilated an Application for New or Additional Plates, OL 22 will need to be completed andsubmitted to your local Occupational Licensing Inspector, address available at Mail completed and signed form to: Department of Motor Vehicles, Occupational Licensing Section, Box 932342, MS L224,Sacramento, CA 94232-3420 IMPORTANT: Do NOT use this form to order new or additional plates.

2 Complete an Application for New or Additional Plates, OL 22, available at 1 APPLICATION FOR (Check one box.) Report Lost or Stolen Plate(s) or to surrender Plate(s)Complete Sections 2, 3, 4, and 6. Replace Lost, Stolen, or Mutilated Plate(s)Complete Sections 2, 3, 4, 5, and 2 TYPE LICENSE Dealer Auto/Trailer Dealer Motorcycle/Snowmobile Dismantler Remanufacturer Manufacturer Manufacturer Motorcycle/Snowmobile Distributor Auto/Trailer Distributor Motorcycle/Snowmobile TransporterSECTION 3 FIRM INFORMATIONFIRM NAMELICENSE NUMBERFIRM ADDRESSTELEPHONE NUMBER( )CITYCOUNTYSTATEZIP CODESECTION 4 INVENTORY INFORMATIONPLATE NUMBER AND LETTER (EXAMPLE: 1A, 2A, ETC.)REG CARD NUMBER AND LETTER (EXAMPLE: 1A, 2A, ETC.)DATEREASON Lost Stolen SurrenderedSURRENDERED TO OL Inspector Law EnforcementSECTION 5 REPLACEMENT PLATES (Fee: $44 per plate*)The registration cards and sticker for each plate listed must be turned in with this application if available.

3 California Vehicle Code 4458 requires that you Report lost or stolen plates to the Police Department or Sheriff s Office.*If your registration card is Surrendered the replacement plate fee is $ NUMBER AND LETTER PLATE NUMBER AND LETTER PLATE NUMBER AND LETTER REASON Lost Stolen MutilatedREASON Lost Stolen MutilatedREASON Lost Stolen MutilatedNOTE: If a plate is lost or stolen, the next plate number will be issued. In the case of a mutilated plate, the same plate number can only be reissued if the mutilated plate is Surrendered and the same plate number is 6 CERTIFICATIONMust be signed by a sole owner, partner, corporate officer, or managing member of record. I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

4 PRINTED NAMETITLESIGNATUREXDATEDMV USE ONLYFEE TP s issued by Inspector NUMBER Registration card(s) Surrendered Yes NoLIST PLATES TAKEN UP Was current sticker attached to plate(s)? Yes NoA Public Service Agency*13OL247*