Reg 1000 Form PDF Details

The Reg 1000 form, essential for vehicle owners seeking to participate in California's Clean Air Vehicle (CAV) Decal program, plays a pivotal role in fostering a eco-friendlier transportation environment. This specific application is designed for vehicles that qualify under the strict guidelines set forth by the California Air Resources Board (CARB), offering tangible benefits such as access to carpool lanes regardless of the number of passengers. Aimed at registered vehicle owners, the form requires a $22 processing fee and encompasses areas such as vehicle and owner information, type of decals requested, and the vehicle's motive power, including electric, hydrogen fuel cell, and hybrid options. Importantly, the form considers income eligibility for participation in both the CAV Decal program and the Clean Vehicle Rebate Project, setting specific income thresholds for applicants. It offers a seamless way for owners of qualifying vehicles to apply for original, replacement, or transfer of clean air vehicle decals, underlining the state’s commitment to reducing vehicular emissions and promoting cleaner air through advanced vehicle technology. The completion and submission of this form, alongside adherence to its guidelines regarding vehicle eligibility and owner income, are crucial steps for California residents aiming to contribute to and benefit from the state's environmental initiatives.

QuestionAnswer
Form NameReg 1000 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesair vehicle decals, clean air vehicle decals, ca clean air vehicle decals, ca application clean air decals

Form Preview Example

 

APPLICATION FOR

 

CLEAN AIR VEHICLE DECALS

A Public Service Agency

MAIL TO: DEPARTMENT OF MOTOR VEHICLES

 

$22 FEE REQUIRED –

SPECIAL PROCESSING UNIT – MS D238

P. O. BOX 932345, SACRAMENTO, CA 94232-3450

MADE PAYABLE TO DMV

 

DMV USE ONLY

PREVIOUS DECAL

ISSUE DATE

Only the registered owner of record may apply. For vehicle eligibility, visit the California Air Resources Board (CARB) website at arb.ca.gov. Replacement decals are available to vehicles that have been involved in an accident in which body work affected decal placement. To avoid processing delays, check dmv.ca.gov under Clean Air Vehicle Decal link for information on how to complete this form.

DATE OF PURCHASE

VEHICLE LICENSE PLATE NO.

VEHICLE IDENTIFICATION NUMBER

 

 

YEAR

MAKE

MODEL

SECTION 1 — CURRENT REGISTERED OWNER INFORMATION (name printed must match DMV records)

A Change of Address (DMV 14) form is also required if the address listed below is a recent change of address, or contains a separate mailing address, currently not on DMV records.

TRUE FULL NAME (LAST, FIRST, MIDDLE) OR BUSINESS NAME

 

DRIVER LICENSE OR ID CARD NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CO-OWNER TRUE FULL NAME (LAST, FIRST, MIDDLE)

 

DRIVER LICENSE OR ID CARD NUMBER

 

 

 

 

 

 

 

 

 

 

PHYSICAL RESIDENCE OR BUSINESS ADDRESS (INCLUDE ST., AVE., RD., CT., ETC.) UNIT NO. (INDICATE APT., STE., ETC.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

COUNTY

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ABOVE) UNIT NO. (INDICATE APT., STE., ETC.)

CITY

 

STATE

 

ZIP CODE

SECTION 2 — CLEAN AIR VEHICLE DECALS

I am requesting: (Check box[es])

Vehicle Motive Power is: (Check one)

Original decals

(Never before issued to vehicle) Correct/update information Transfer to new owner

Income-Based CAV Decal Program (REG 1000 IB required)

Replacement ID Card

Replacement Decals

Previous Decal Number:

Stolen

Lost or Damaged

Not Received

Electric (E)

Hydrogen fuel cell (R)

Plug-in hybrid (Q)

Liquefied Petroleum Gas (LPG) (P)

Compressed Natural Gas (CNG) (N) Advisory: Check Tank Expiration Date

Original Manufacturer Equipment

(example: Honda, Ford, etc.)

After Market – Listed on the CARB website under BAF Technologies, IMPOC, Landi Renzo, etc.

SECTION 3 — IMPORTANT INFORMATION AND CERTIFICATION (California Vehicle Code §5205.5)

For a vehicle purchased on or after January 1, 2018, an applicant’s participation in the Clean Air Vehicle (CAV) Decal program and the Clean Vehicle Rebate Project (CVRP) is based upon both the applicant’s gross annual income and vehicle type:

 

 

VEHICLE TYPE

 

GROSS ANNUAL INCOME

 

 

 

 

 

ELECTRIC OR

 

HYDROGEN

 

LPG AND CNG

 

 

PLUG-IN HYBRID

 

FUEL CELL

 

 

 

 

 

At or Above: $150,000 for single filers, $204,000 for head-of-

 

 

 

CAV or CVRP

CAV only

CAV only

 

(60 days from date of

household, or $300,000 for joint filers.

 

 

 

 

purchase to choose)

 

 

 

 

 

 

 

 

 

Under: $150,000 for single filers, $204,000 for head-of-household,

CAV only

CAV and CVRP

 

CAV and CVRP

or $300,000 for joint filers.

 

 

 

 

 

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

PRINTED NAME

DAYTIME TELEPHONE NUMBER

 

(

)

 

 

 

SIGNATURE OF REGISTERED OWNER

DATE

 

X

 

 

 

 

 

DMV uses personal information only for the specified purpose, or purposes consistent with those purposes, unless DMV obtains your consent, or authorized by law or regulations. DMV’s Privacy Policy is located at dmv.ca.gov under the “Privacy Policy” link at the bottom of the page.

REG 1000 (REV. 1/2020) WWW

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It is easy to finish the form using out helpful guide! Here is what you want to do:

1. The application clean air vehicle involves specific information to be inserted. Be sure that the next blank fields are filled out:

Part no. 1 for submitting air vehicle decals

2. Just after completing this section, head on to the subsequent stage and complete all required details in all these blanks - IncomeBased CAV Decal Program REG, Stolen Lost or Damaged Not Received, Electric E Hydrogen fuel cell R, Advisory Check Tank Expiration, example Honda Ford etc, After Market Listed on the CARB, under BAF Technologies IMPOC Landi, SECTION IMPORTANT INFORMATION, For a vehicle purchased on or, GROSS ANNUAL INCOME, VEHICLE TYPE, LPG AND CNG, ELECTRIC OR PLUGIN HYBRID, HYDROGEN FUEL CELL, and At or Above for single filers.

example Honda Ford etc, At or Above  for single filers, and Electric E Hydrogen fuel cell R in air vehicle decals

People frequently make mistakes while filling in example Honda Ford etc in this area. Don't forget to review whatever you type in here.

3. The following segment will be focused on PRINTED NAME, SIGNATURE OF REGISTERED OWNER, DAYTIME TELEPHONE NUMBER, DATE, X DMV uses personal information, and REG REV WWW - fill out all these blank fields.

air vehicle decals completion process clarified (step 3)

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