ADM 399 PDF Details

The Application for Refund form, ADM 399, serves as a crucial document for individuals and companies seeking refunds for various fees and penalties previously paid to the Department of Motor Vehicles (DMV). Applicable to a broad spectrum of refunds including vehicle or vessel registration, driver licenses, identification cards, and special certificates among others, this form is governed by specific eligibility criteria outlined in the California Vehicle Code and Revenue and Taxation Code. It is meticulously designed to ensure that applicants are well-guided through the process, requiring them to submit comprehensive evidence to support their refund requests such as payment proofs, DMV receipts, and relevant certificates. Not all refund requests are honored, with exceptions clearly indicated for scenarios like registration fees paid before vehicle sale or cases involving parking fees and use tax, which are handled by respective authorities outside of the DMV. Furthermore, the application emphasizes on timely submissions due to limitations on records availability, marking a three-year window post-payment for lodging refund requests. Applicants are advised to follow detailed instructions provided for completing the form, which also includes sections for specifying the payment method, the exact amount sought for a refund, and reasons for the request, ensuring transparency and efficiency in processing. The ADM 399 form embodies the DMV’s commitment to service, allowing errors or excessive charges to be rectified, thereby reinforcing the public's trust in administrative processes.

QuestionAnswer
Form NameADM 399 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesadm 399 california dmv, adm 399 dmv form, dmv adm399, adm 399 refund

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APPLICATION FOR REFUND

A Public Service Agency

INSTRUCTIONS:

This application form (ADM 399) can be used to request refunds for vehicle/vessel registration, driver license, identification card, special certificate, financial responsibility, and other fees and/or penalties collected by the Department of Motor Vehicles (DMV). Refund is due when fees were paid in error or were not required to be paid to DMV as stated in California Vehicle Code §42231 and/or Revenue and Taxation Code §10901.

To apply for a refund of fees and/or penalties collected by DMV that were erroneous, excessive, or not due:

•Read the instructions thoroughly to determine if a refund of fees is due.

•Complete Application for Refund. See the instructions.

Submit the Application for Refund to the nearest DMV office or mail to:

 

Registration

Driver License/Identification Card

Occupational Licensing

Department of Motor Vehicles

Department of Motor Vehicles

Department of Motor Vehicles

PO Box 942869, MS A235

PO Box 942890

Occupational Licensing Section

Sacramento, CA 94269-0001

Sacramento, CA 94290-0001

PO Box 932342, MS L224

 

 

Sacramento, CA 94232-3420

DMV will not honor refund requests that are:

•for registration fees:

–when they were paid prior to the sale of the vehicle.

–when the vehicle was operated after the new registration year.

–covering a portion of the year.

–wrecked after fees became due.

•for duplicate certificates and/or stickers when they were applied for voluntarily.

•for parking fees. Please contact the issuing agency or the court for the parking fee refund.

•for use tax. Please contact the California Department of Tax and Fee Administration for the use tax refund.

•received more than three years after the payment was made. This is due to the statute of limitations and the fact that DMV’s records are no longer available for verification.

•for all types of driver license and/or identification card applications unless the fee was collected in error.

Attach all applicable substantiation for your requested refund:

•Photocopy of the cancelled check (front and back) or credit card receipt showing proof of payment. If payment was made twice to DMV, please submit photocopies of both cancelled checks or credit card receipts.

•Photocopy of receipts issued by DMV.

•Vehicle registration card/stickers for the year fees are requested to be refunded.

•Photocopy of insurance Statement of Facts showing date of loss.

•Completed Certificate of Non-Operation/Planned Non-Operation Certification (REG 102) form.

•Completed Notice of Transfer and Release of Liability (REG 138) providing the name and address of the purchaser and the date of sale.

•Completed Nonresident Military (NRM) Vehicle License Fee and Transportation Improvement Fee Exemption (REG 5045) form.

•Certificate of Title issued for the vehicle or vessel for which the fees are requested to be refunded (if a change or correction of vehicle or vessel description is also involved).

•Statement of Facts (REG 256) completed and signed authorizing DMV to issue the refund in your name (if you are other than the registered owner or selling dealer).

•Proof of medical condition which prevented issuance of a driver license.

NOTE: You will be notified of the disposition of your refund within 30 days from the date of receipt of the Application for Refund in Sacramento. You will be contacted by phone, email or surface mail if additional items or clarification is required. Please visit DMV’s Refund FAQs Webpage at https://www.dmv.ca.gov/ portal/dmv/detail/online/refund/refundfaqs for more details.

ADM 399 (REV. 6/2020) WWW

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APPLICATION FOR REFUND

A Public Service Agency

INSTRUCTIONS (continued)

How to complete Application for Refund:

•“Item” corresponds to the numbers shown on the Application for Refund.

•“Item Description” is the same as indicated on the application form.

•“What to Enter” clarifies the information required to be completed by the applicant.

ITEM

ITEM DESCRIPTION

WHAT TO ENTER

1

Name or Company Name

Name (last, first, and middle initial) of the individual(s) and/or company that is

 

 

entitled to the refund. Refund is issued back to the original form of payment.

 

 

For credit card refunds, the refund is issued back to the credit card holder. If the

 

 

refund needs to be issued to a different person, a completed Statement of Facts

 

 

(REG 256) is needed.

2

Mailing Address

Show complete mailing address. (For an “in care of” (C/O) address, enter the

 

 

C/O name first on the mailing address line, followed by the mailing address.)

3

City, State, and Zip Code

Show complete city name, state, and zip code.

4VIN/HIN (Last 3 Characters) Refund of registration fees only: show the last three characters of the vehicle identification number or vessel hull identification number.

5Registered Owner or License Registered owner’s name or licensed person’s name if different from the

Name

Applicant. Include the registered owner’s or the licensed person’s address in the

 

blank space under #11 “Other”.

6License or License Plate Refund of driver license fees: show the license number (Including identification

 

Number

card, driver license, motorcycle license, commercial driver license, special

 

 

certificate, occupational license, or financial responsibility, etc.)

 

 

Refund of registration fees: show the vehicle license plate number, vessel

 

 

registration number, one trip permit number, commercial requester account

 

 

number, or IRP fleet number, etc.

6a

Registration

Mark an “X” in the “Registration” box if refund is for vehicle/vessel related fees.

 

Driver/ID

Mark an “X” in the “Driver/ID” box if refund is for driver license or identification

 

Occupational

card related fees.

 

Misc.

Mark an “X” in the “Occupational” box if refund is for occupational license fees.

 

 

For all others, mark an “X” in the “Misc.” box.

7

Date Fees Were Paid

Enter the date the fees to be refunded were originally paid.

8

Office Where

Enter the name of the DMV office, business partner, or location of the Auto Club

 

Fees Were Paid

where the fees to be refunded were originally paid.

9

Payment Method

Mark an “X” in the box of your original payment method.

10Refund Amount Requested Enter the amount of refund that you are requesting, including dollars and cents.

11

Reason for Refund

Mark an “X” in the appropriate box. Mark an “X” in the “Other” box if the reason

 

 

for refund is not listed. Write a brief statement justifying the refund request.

 

 

If applicant is not the registered owner’s or the licensed person’s include the

 

 

registered owner’s or licensed person’s address under “Other”.

12

Signature of Applicant

Your signature.

 

 

 

13

Date

Enter the date the Application for Refund is signed.

14

Daytime Telephone Number

Your daytime area code and telephone number.

15

Email Address

Your email address.

 

 

 

 

 

 

 

 

 

 

 

 

 

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ADM 399 (REV. 6/2020) WWW

A Public Service Agency

APPLICATION FOR REFUND

DMV USE ONLY

RECEIVED AND DESTROYED STICKER NO. HERE

YEAR ______

WARRANT NO. (ACCOUNTING USE ONLY)

DATE DMV RECEIVED REFUND REQUEST

BUSINESS INDICATOR

B

I

SECTION 1 — APPLICANT INFORMATION

1. NAME (LAST, FIRST, MI) OR COMPANY NAME

2. MAILING ADDRESS

 

 

 

 

3. CITY

 

 

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

4. VIN/HIN (LAST 3 CHARACTERS)

 

5. REGISTERED OWNER OR LICENSE NAME

6. LICENSE OR LICENSE PLATE NUMBER

6A.

REGISTRATION

DRIVER/ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OCCUPATIONAL

MISC.

 

7. DATE FEES WERE PAID (MM/DD/YYYY)

8. OFFICE WHERE FEES WERE PAID

9. PAYMENT METHOD

 

 

10. REFUND AMOUNT REQUESTED

 

 

 

 

 

 

 

CREDIT/DEBIT

CASH/CHECK

 

 

 

 

 

11. A REFUND OF FEES IS BEING REQUESTED

BECAUSE:

 

 

 

 

 

 

 

 

 

 

Vehicle/vessel left California

last operated in California on

 

 

.

 

 

 

 

 

DATE

 

 

 

 

 

 

Vehicle/vessel was

sold

wrecked

stolen on

 

.

 

 

 

 

 

 

 

 

 

 

 

 

 

DL/ID/OL Refund Reason

DATE

Other (please explain briefly).

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

12. SIGNATURE OF APPLICANT

13. DATE

14. DAYTIME TELEPHONE NUMBER

15. EMAIL ADDRESS

( )

FOR DMV USE ONLY

SUB M FEE CLEARANCE INFO

REPORTING UNIT NUMBER TYPE LICENSE TOTAL REFUND

 

FEE CODES +

REFUND

FEE CODES +

REFUND

FEE CODES +

 

REFUND

FEE CODES +

 

REFUND

 

 

Waiver/County

AMOUNT

Waiver/County

AMOUNT

Waiver/County

 

AMOUNT

Waiver/County

 

AMOUNT

 

(008)

 

(088)

 

060

 

 

VL2 -

 

 

 

 

 

AA -

 

AQ63 -

 

 

 

 

 

 

 

 

 

(031)

 

(089)

 

154

 

 

VPC

 

 

 

 

 

AO -

 

AQ64 -

 

 

 

 

 

 

 

 

 

(069)

 

(093)

 

316

 

 

 

 

 

 

 

 

 

AZ -

 

AN -

 

 

 

 

 

 

 

 

 

 

 

(074)

 

(094)

 

501

 

 

 

 

 

 

 

 

 

AD -

 

AU -

 

 

 

 

 

 

 

 

 

 

 

(075)

 

(095)

 

502

 

 

 

 

 

 

 

 

 

AL -

 

AI -

 

 

 

 

 

 

 

 

 

 

 

(076)

 

001

 

 

503

 

 

 

 

 

 

 

 

 

AJ -

 

 

 

 

 

 

 

 

 

 

 

 

 

(083)

 

002

 

 

50L

 

 

 

 

 

 

 

 

 

AT -

 

 

 

 

 

 

 

 

 

 

 

 

 

(084)

 

003

 

 

AQ1

 

 

 

 

 

 

 

 

 

AB -

 

 

 

 

 

 

 

 

 

 

 

 

 

(085)

 

00L -

 

AR1

 

 

 

 

 

 

 

 

 

AQ -

 

 

 

 

 

 

 

 

 

 

 

 

(086)

 

014

 

 

AR0

 

 

 

 

 

 

 

 

 

AS -

 

 

 

 

 

 

 

 

 

 

 

 

 

(087)

 

039

 

 

EF0

 

 

 

 

 

 

 

 

 

AV -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMV APPROVALS (LEGIBLE SIGNATURE REQUIRED)

 

 

 

 

 

 

 

 

TECHNICIAN NAME

 

 

TECHNICIAN SIGNATURE

 

TECHNICIAN TELEPHONE NUMBER

DATE

 

 

 

 

 

 

 

 

 

X

 

 

(

)

 

 

 

 

 

 

 

 

MANAGER NAME

 

 

MANAGER SIGNATURE

 

MANAGER TELEPHONE NUMBER

DATE

 

 

 

 

 

 

 

 

 

X

 

 

(

)

 

 

 

 

 

 

 

 

Z96 #

 

 

 

 

 

 

CREDIT CARD COMPANY NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

ELAVON

FIRST DATA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADM 399 (REV. 6/2020) WWW

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Print

 

 

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Step 1: To start out, click the orange button "Get Form Now".

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The PDF form you decide to fill out will include the next parts:

adm399 fields to fill out

In the segment ADM REV WWW write down the particulars which the application asks you to do.

adm399 ADM REV WWW fields to fill

Jot down the necessary particulars in SECTION APPLICANT INFORMATION, NAME LAST FIRST MI OR COMPANY NAME, MAILING ADDRESS, CITY, STATE, ZIP CODE, VINHIN LAST CHARACTERS, REGISTERED OWNER OR LICENSE NAME, REGISTR ATION, DRIVERID, OCCUPATIONAL, MISC, DATE FEES WERE PAID MMDDY Y Y Y, OFFICE WHERE FEES WERE PAID, and PAYMENT METHOD box.

Entering details in adm399 part 3

In the part ADM REV WWW, ELAVON, and FIRST DATA, identify the rights and obligations of the sides.

step 4 to entering details in adm399

Step 3: Choose the Done button to ensure that your completed file can be transferred to every electronic device you want or mailed to an email you specify.

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