ADM 399 Form – Fill Out and Use This PDF

Form ADM 399, titled "Application for Refund," is a document provided by the Department of Motor Vehicles (DMV) in California, United States. The form is used to request refunds for certain fees that have been collected by the DMV, such as those associated with vehicle/vessel registration, driver licenses, identification cards, special certificates, financial responsibility, and other fees or penalties.

ADM 399 PDF Details

Form ADM 399 is used in instances where fees were paid in error, were excessive, or were not due, according to California Vehicle Code §42231 and/or Revenue and Taxation Code §10901. Some of the circumstances under which a refund might be applicable include cases where fees were paid prior to the sale of a vehicle, for duplicate certificates/stickers applied for voluntarily, or for all types of driver license and/or identification card applications unless the fee was collected in error.

Instructions are provided on the form for how to apply for a refund, including the required documentation and where to send the completed form. It also provides the applicant with details about how to fill the application, with fields such as the applicant's name, mailing address, reason for refund, and more.

Please note that DMV will not honor refund requests under certain conditions, and these are listed on the form as well. An example is that refunds will not be given for registration fees paid prior to the sale of a vehicle.

Finally, the form emphasizes that you will be notified of the outcome of your refund application within 30 days from the date the application was received. For more details, you can visit the DMV’s Refund FAQs webpage as provided on the form.

Question	Answer
Form Name	ADM 399 Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	adm 399 california dmv, adm 399 dmv form, dmv adm399, adm 399 refund

Form Preview Example

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

Print		Clear Form

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.

			Print	Clear Form

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

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

(

)

MANAGER NAME

MANAGER SIGNATURE

MANAGER TELEPHONE NUMBER

DATE

(

)

Z96 #

CREDIT CARD COMPANY NAME

ELAVON

FIRST DATA

ADM 399 (REV. 6/2020) WWW

Clear Form

How to Edit ADM 399 Form Online for Free

Due to the purpose of making it as easy to use as it can be, we created the PDF editor. The whole process of completing the california form adm 399 can be uncomplicated in the event you keep to the following actions.

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

Step 2: As soon as you have entered the california form adm 399 edit page, you'll discover all options you may undertake regarding your template within the top menu.

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

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

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.

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

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.

Step 4: To protect yourself from possible forthcoming troubles, make sure to possess up to several copies of each and every document.

ADM 399 Form – Fill Out and Use This PDF

ADM 399 PDF Details

Form Preview Example

How to Edit ADM 399 Form Online for Free

Watch ADM 399 Form Video Instruction

ADM 399 Form isn’t the one you’re looking for?

Please rate Adm 399

ADM 399 Form – Fill Out and Use This PDF

ADM 399 PDF Details

Form Preview Example

How to Edit ADM 399 Form Online for Free

Watch ADM 399 Form Video Instruction

ADM 399 Form isn’t the one you’re looking for?

Related Documents

Please rate Adm 399

Related Resources