Online Refund Program: Refund Application

Applicant Information



Name (last, first, and middle initial) of the individual(s) and/or company that is entitled to the refund. This name will be printed on the check.











Refund of registration fees and/or penalties: show the last three characters of the vehicle identification number or vessel hull identification number.



Show the name(s) of person(s) who paid the original fees if they are different from the one(s) shown in Item 1.



Refund of driver license fees: show the driver license number. (Including commercial driver license)
Refund of registration fees and/or penalties: show the vehicle license plate number, or vessel registration number.


 6a. Registration or Driver
Select "Registration" if refund is for vehicle/vessel related fees.
Select "Driver" if refund is for driver license related fees.



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Enter the name of the DMV office, business partner, or location of the Auto Club where the fees to be refunded were originally paid.


9. WERE FEES PAID BY


*Fees paid by credit card will result in a credit to your account.



$

11. A REFUND OF FEES IS BEING REQUESTED BECAUSE:


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*You may receive correspondence from DMV if it is determined that supporting documentation is required (e.g., copy of canceled check).



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