Get CA DPR 818A 2014
GNATURE AND DATE IV. APPLICANT CERTIFICATION I certify under penalty of perjury that the foregoing is true and correct. APPLICANT'S SIGNATURE AND DATE FOR DEPARTMENT USE ONLY ISSUED BY DISTRICT/SECTION/UNIT DPR 818A (Rev. 4/2014)(Excel 4/1/2014)(Page 1 of 2) DATE PASS NO. Issuing office will retain completed applications for one calendar year plus prior calendar year. DISABLED DISCOUNT PASS ELIGIBILITY REQUIREMENTS For purposes of this program, a disabled person is defined as anyone who.
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