Reg 5103 PDF Details

In navigating the intricacies of California's environmental policies, vehicle owners residing outside the state face a unique challenge, particularly when it comes to compliance with the state's stringent smog regulations. The State of California Department of Motor Vehicles offers a crucial mechanism for these individuals through the Application for Temporary Smog Exemption for a Vehicle Located Out-of-State, known colloquially as the Reg 5103 form. This document serves as a lifeline for vehicle owners who find their vehicles temporarily stationed outside California, furnishing a pathway to secure an exemption from the biennial smog check requirements that are rigidly enforced within the state. To apply for this exemption, detailed information regarding the vehicle—including its identification number, make, model, and current location—must be meticulously provided. Additionally, the applicant is obligated to substantiate the reason for the vehicle's out-of-state location and verify a continuous out-of-state status until a specified date. It's crucial to understand that this exemption is not universally applicable; vehicles situated in certain cities, chiefly bordering Nevada and Mexico, do not qualify. This form, which underscores the State's commitment to thorough verification to prevent misuse, requires a solemn declaration of the truthfulness of the provided information, under penalty of perjury. Despite its seemingly bureaucratic veneer, the Reg 5103 form embodies the state's flexible approach to environmental stewardship, acknowledging the diverse circumstances of its vehicle-owning populace while maintaining its air quality standards.

QuestionAnswer
Form NameReg 5103
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescalifornia dmv reg 5103, ca reg 5103, california dmv reg 5103 form, reg 5103

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STATE OF CALIFORNIA

DEPARTMENT OF MOTOR VEHICLES®

A Public Service Agency

ApplicAtion for temporAry SmoG exemption

for A Vehicle locAted out-of-StAte

(h&Sc §44011, cVc §§20, 1653, 8800)

Your vehicle may qualify for temporary exemption from biennial smog requirements if it is temporarily located out of state. You must provide the following information in order to determine eligibility for the exemption.

Section 1 — Vehicle informAtion

VEhiclE idENtificatioN NumbER

YEaR

makE

modEl

VEhiclE licENsE NumbER

as of

 

 

the vehicle has been located outside of california and is currently physically located/garaged at:

 

 

datE

 

 

 

 

 

 

 

 

stREEt addREss

 

citY

statE

Zip codE

the vehicle is temporarily located out of state because

the vehicle cannot or is not required to be registered in the state of

 

because

 

 

 

 

 

 

 

 

 

 

 

 

the above vehicle will continuously be located outside california until

 

 

. the required smog certification

 

 

datE

will be obtained and submitted to dmV upon the vehicle’s return to california.

 

 

Contact information of person operating the vehicle out of state:

tRuE full NamE

daYtimE tElEphoNE NumbER

( )

Section 2 — certificAtion

the informAtion you Are proVidinG iS Subject to VerificAtion by dmV And your reGiStrAtion mAy be Subject to cAncellAtion.

ExEcutEd oN (DAte)

at (City)

statE

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

pRiNt tRuE full NamE

mailiNG addREss

siGNatuRE

daYtimE tElEphoNE NumbER

x

(

)

 

citY

 

statE

Zip codE

note: Vehicles located in the following cities are ineligible for the exemption.

Nevada

Mexico

carson city

Reno

tecate

centerville

sparks

tijuana

crystal bay

stateline

tijuana baja ca

Gardnerville

stewart

 

Genoa

Washoe city

 

Glenbrook

Verdi

 

incline Village

Zephyr cove

 

minden

 

 

REG 5103 (NEW 5/2014) WWW

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Provide the expected data in the section the informAtion you Are proVidinG, ExEcutEd oN DAte, at City, statE, I certify or declare under penalty, pRiNt tRuE full NamE, mailiNG addREss, siGNatuRE x, citY, daYtimE tElEphoNE NumbER, statE, Zip codE, note Vehicles located in the, Mexico, and tecate.

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