Dmv Form Dl 142 PDF Details

DMV Form DL 142 is a request for a certified copy of a driver record. The form can be used to obtain a driving history, list of citations, or other information related to your license status. The process for obtaining a certified driver record varies by state, so make sure to follow the instructions on the DMV website. Generally, you will need to provide some basic personal information and pay a fee. Once the form is processed, you should receive your certified driver record in the mail within a few weeks.

Below is the details relating to the PDF you were seeking to fill in. It will show you how long it will need to complete dmv form dl 142, what parts you will have to fill in, etc.

QuestionAnswer
Form NameDmv Form Dl 142
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to de register a car, service arizona com, adot cancel registration, cancel registration az

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF MOTOR VEHICLES®

A Public Service Agency

REQUEST FOR CANCELLATION OR

SURRENDER OF A DRIVER LICENSE OR

IDENTIFICATION CARD

142

DMV USE ONLY

Doubled From

To

Name oF persoN as showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD

Information about

 

 

 

 

 

 

 

 

 

the document

aDDress

 

 

 

ciTY

 

sTaTe Zip coDe

 

 

 

 

 

 

 

 

 

being cancelled

 

 

 

 

 

 

 

 

 

or surrendered

liceNse or iD carD NUmber To be caNcelleD

DaTe oF birTh

 

 

locaTioN oF liceNse

 

 

 

 

 

 

 

 

 

lost/destroyed

attached

other (explain on reverse)

 

 

 

 

 

 

 

 

Voluntary surrender

i voluntarily surrender and request the cancellation of my:

Driver license (Dl) or

identification card (iD)

or cancellation of

reason for the cancellation or surrender:

 

 

 

 

 

 

 

 

a DL or ID Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

is the license in the minor’s possession?

Yes

No

 

 

 

Person cancelling

is there a change in custody of the minor?

Yes

No

 

 

 

minor child’s

i certify under penalty of perjury under the laws of the state of california that: (check one)

 

 

application or

i signed the minor’s application for a license.

 

 

 

 

driver license

 

 

 

 

i did not sign the application but i gave written consent to the issuance of the minor’s license.

 

 

i did not sign the application but now have custody of the minor.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

priNT YoUr Name

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

of person

siGNaTUre

 

 

 

 

 

DaTe

 

 

 

 

 

 

completing

X

 

 

 

 

 

 

 

the form

aDDress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMV Employee

siGNaTUre oF emploYee aND iD NUmber

 

 

 

oFFice NUmber

DaTe

X

 

 

 

 

 

 

 

Dl 142 (reV. 12/2014) WWW

CUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS

STATE OF CALIFORNIA

DEPARTMENT OF MOTOR VEHICLES®

A Public Service Agency

REQUEST FOR CANCELLATION OR

SURRENDER OF A DRIVER LICENSE OR

IDENTIFICATION CARD

142

DMV USE ONLY

Doubled From

To

Name oF persoN as showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD

Information about

 

 

 

 

 

 

 

 

 

 

 

the document

aDDress

 

 

 

ciTY

 

sTaTe Zip coDe

 

 

 

 

 

 

 

 

 

 

 

being cancelled

 

 

 

 

 

 

 

 

 

 

 

or surrendered

liceNse or iD carD NUmber To be caNcelleD

DaTe oF birTh

 

 

locaTioN oF liceNse

 

 

 

 

 

 

 

 

 

 

lost/destroyed

attached

other (explain on reverse)

 

 

 

 

 

 

 

 

 

 

Voluntary surrender

i voluntarily surrender and request the cancellation of my:

Driver license (Dl) or

identification card (iD)

or cancellation of

reason for the cancellation or surrender:

 

 

 

 

 

 

 

 

 

 

a DL or ID Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

is the license in the minor’s possession?

Yes

No

 

 

 

 

Person cancelling

is there a change in custody of the minor?

Yes

No

 

 

 

 

minor child’s

i certify under penalty of perjury under the laws of the state of california that: (check one)

 

 

 

application or

i signed the minor’s application for a license.

 

 

 

 

 

 

driver license

 

 

 

 

 

 

i did not sign the application but i gave written consent to the issuance of the minor’s license.

 

 

i did not sign the application but now have custody of the minor.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

priNT YoUr Name

 

 

 

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

of person

siGNaTUre

 

 

 

 

 

 

 

DaTe

 

 

 

 

 

 

 

 

completing

X

 

 

 

 

 

 

 

 

 

the form

aDDress

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DMV Employee

siGNaTUre oF emploYee aND iD NUmber

 

 

 

 

oFFice NUmber

 

DaTe

X

 

 

 

 

 

 

 

 

 

Dl 142 (reV. 12/2014) WWW

Print

Clear Form

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example of gaps in how to de register a car

Provide the required data in the area REQUEST FOR CANCELLATION OR, Name oF persoN as showN oN The, Information about the document, Voluntary surrender or, Person cancelling minor childs, aDDress, ciTY, sTaTe, Zip coDe, liceNse or iD carD NUmber To be, DaTe oF birTh, locaTioN oF liceNse, i voluntarily surrender and, Driver license Dl or, and identification card iD.

Entering details in how to de register a car stage 2

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