Chp 279 Form PDF Details

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QuestionAnswer
Form NameChp 279 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameschp form, chp 279 request for owners responsibility, 279 form california, chp 279

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STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHW AY PATROL

REQUEST FOR OWNER'S RESPONSIBILITY

CHP 279 (Rev. 9-07) OPI 062

Completion and presentation of this form is an indication that you desire the company to be charged under "owner's responsibility" for certain violations of the California Vehicle Code.

The California Highway Patrol does not maintain a centralized owner's responsibility database. Therefore, it will be necessary to complete the CHP 279 form in its entirety and place several copies of the completed form in each of your vehicles that you desire to be considered under owner's responsibility. Upon contact by CHP enforcement personnel, your drivers should be instructed to present the form to the officer. If a citation is to be issued, the officer may retain a copy of the CHP 279 form and attach it to the citation for court purposes.

The CHP 279 should be renewed annually at the beginning of the calendar year, or immediately, if the responsible person has terminated employment or moved to another position.

WEIGHT

 

LOADING

 

YES

NO

YES

NO

 

 

 

 

MECHANICAL

 

REGISTRATION

 

YES

NO

YES

NO

OTHER SPECIAL CONDITION

COMPANY NAME

COMPANY MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE)

PERSON RESPONSIBLE

BUS. PHONE (INCLUDE AREA CODE)

 

 

 

TITLE JOB POSITION

 

 

 

 

 

SIGNATURE OF PERSON RESPONSIBLE

 

DATE

 

 

 

 

 

 

STATE OF CALIFORNIA

DEPARTMENT OF CALIFORNIA HIGHW AY PATROL

REQUEST FOR OWNER'S RESPONSIBILITY

CHP 279 (Rev. 9-07) OPI 062

Completion and presentation of this form is an indication that you desire the company to be charged under "owner's responsibility" for certain violations of the California Vehicle Code.

The California Highway Patrol does not maintain a centralized owner's responsibility database. Therefore, it will be necessary to complete the CHP 279 form in its entirety and place several copies of the completed form in each of your vehicles that you desire to be considered under owner's responsibility. Upon contact by CHP enforcement personnel, your drivers should be instructed to present the form to the officer. If a citation is to be issued, the officer may retain a copy of the CHP 279 form and attach it to the citation for court purposes.

The CHP 279 should be renewed annually at the beginning of the calendar year, or immediately, if the responsible person has terminated employment or moved to another position.

WEIGHT

 

LOADING

 

YES

NO

YES

NO

 

 

 

 

MECHANICAL

 

REGISTRATION

 

YES

NO

YES

NO

OTHER SPECIAL CONDITION

COMPANY NAME

COMPANY MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE)

PERSON RESPONSIBLE

BUS. PHONE (INCLUDE AREA CODE)

 

 

 

TITLE JOB POSITION

 

 

 

 

 

SIGNATURE OF PERSON RESPONSIBLE

 

DATE

 

 

 

 

 

 

Use Previous Editions until depleted

c279_907.frp

Use Previous Editions until depleted

c279_907.frp

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