Reg 5103 at a glance
What it is: REG 5103 is the Application for Temporary Smog Exemption for a Vehicle Located Out-of-State, from the Department of Motor Vehicles.
Who signs: You certify (or declare) under penalty of perjury under the laws of the State of California that it is true and correct.
A filled-in Reg 5103 example: a driver working in Idaho
How to fill out Reg 5103, box by box
Section 1 - Vehicle information
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.
Under Section 1, Vehicle Information, enter the Vehicle Identification Number, Year, Make, Model and Vehicle License Number.
Where the vehicle is located
Enter the date as of which the vehicle has been located outside of California, and the Street Address, City, State and Zip Code where it is currently physically located/garaged.
Why the vehicle is out of state
Write why the vehicle is temporarily located out of state because. Write the state in which the vehicle cannot or is not required to be registered because, and why.
Enter the date until which the vehicle will continuously be located outside California. The required smog certification will be obtained and submitted to DMV upon the vehicle's return to California.
Contact information of person operating the vehicle out of state
Enter the true full name and daytime telephone number of the person operating the vehicle out of state.
Section 2 - certification
Under Section 2 - certification, enter the date executed on, then the city and state.
The information you are providing is subject to verification by DMV and your registration may be subject to cancellation.
Print the true full name and signature, and enter the daytime telephone number and the mailing address with city, state and zip code.
More rules for Reg 5103
Vehicles located in the following cities are ineligible for the exemption. Nevada: Carson City, Centerville, Crystal Bay, Gardnerville, Genoa, Glenbrook, Incline Village, Minden, Reno, Sparks, Stateline, Stewart, Washoe City, Verdi, Zephyr Cove. Mexico: Tecate, Tijuana.
Sources
[1] Form REG 5103 (NEW 5/2014), Application for Temporary Smog Exemption for a Vehicle Located Out-of-State, California Department of Motor Vehicles (the Official source link on this page).
