Form DL 142 at a glance
What it is: Form DL 142 is the Request for Cancellation or Surrender of a Driver License or Identification Card, Department of Motor Vehicles.
Who signs: Print Your Name, sign on the Signature line of the person completing the form, and enter the Date and Address.
To surrender voluntarily, mark: I voluntarily surrender and request the cancellation of my Driver license (DL) or identification card (ID). Person cancelling minor child's application or driver license is also on this form.
A filled-in Form DL 142 example: a driver signs the cancellation of a lost license
How to fill out Form DL 142, box by box
Signature of person completing the form
Print Your Name, sign on the Signature line of the person completing the form, and enter the Date and Address.
More rules for Form DL 142
Enter the Name of person as shown on the license or identification card to be cancelled.
Enter the Address, City, State and Zip Code.
Enter the License or ID card number to be cancelled, the Date of birth and the Location of license.
Mark lost/destroyed, attached or other (explain on reverse). Enter the reason for the cancellation or surrender.
Cut on the line and keep this part for your records.
Common questions about Form DL 142
What am I certifying when I sign?
For the Person cancelling minor child's application or driver license: Is the license in the minor's possession? Yes or No. Is there a change in custody of the minor? Yes or No. Under I certify under penalty of perjury under the laws of the State of California that, check one: I signed the minor's application for a license. I did not sign the application but I gave written consent to the issuance of the minor's license. Or I did not sign the application but now have custody of the minor.
Sources
[1] Form DL 142 (REV. 12/2014), Request for Cancellation or Surrender of a Driver License or Identification Card, California Department of Motor Vehicles (the Official source link on this page).
