Get Programa Para Printable Form

This guide provides step-by-step instructions on how to successfully complete the Programa Para Printable Form online. The form is designed to assist eligible vehicle owners in California with financial support for vehicle-related issues.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by selecting the program option that applies to you. Choose either 'Vehicle retirement' to receive up to $1,500 for eligible income vehicle owners to retire their vehicle or 'Repair assistance' to obtain up to $500 for emission-related repairs if your vehicle fails the smog inspection.
3. Fill in the registered vehicle owner's information. Provide your last name, first name, address, department, middle initial, driver's license or identification number, date of birth, city, state, postal code, and daytime phone number.
4. If applicable, provide co-owner information by entering the last name, first name, and middle initial of the co-owner.
5. Complete the vehicle information section by specifying the year, make, model, vehicle identification number (VIN), and California license plate number of your vehicle.
6. For the income verification section, indicate the number of people living in your household, including yourself, and state the gross income for your household, either monthly or annually.
7. Review the signature section. As the registered owner, print your name in block letters, sign, and date the form. If applicable, the co-owner should also do the same.
8. Once you have filled out all necessary sections, ensure to review the entire form for completeness. Save your changes and choose whether to download, print, or share the form.

Complete your application for assistance online today.