Follow the steps to complete the application successfully.

1. Click ‘Get Form’ button to obtain the form and access it in the editor.
2. Carefully read the instructions provided on the form regarding eligibility and assistance options. Choose one option: either 'Vehicle removal' for qualified applicants to receive $1,500 or 'Repair assistance' for eligible users to receive funds for emissions-related repairs.
3. Fill in the vehicle owner's information section, ensuring to enter your name, last name, address, initial, license number or ID, state, postal code, department city, date of birth, and daytime telephone number accurately.
4. If applicable, complete the co-owner's section with their last name, first name, initial, license number or ID, and date of birth.
5. Provide details about the vehicle, including the year, make, model, VIN (Vehicle Identification Number), and California license plate number.
6. Fill out the income verification section by indicating the number of people living in your household and the gross monthly and annual income.
7. Sign and date the form in the designated areas. Ensure that both the registered owner and co-owner, if applicable, provide their printed names and signatures.
8. After completing the form, save changes, download, print, or share the document as needed for submission.

Complete your application for assistance online today to secure the support you need!