Get CA DMV DL 937 2009-2024

Additional documentation may be required to complete your application. For more information please refer to the California Driver Handbook or online at www. dmv.ca.gov. This form must be presented to DMV within 60 days of its completion by the governmental or non-profit entity. Save time make an appointment online at www. dmv.ca.gov or call 1-800-777-0133. DL 937 REV. 4/2009 UH Clear Form Print. X SIGNATURE OF REPRESENTATIVE FOR ENTITY DATE Please bring this original completed form Verification for Reduced Fee Identification Card DL 937 to the DMV along with your payment and a completed Driver License or Identification Card Application DL 44 form. Additional documentation may be required to complete your application. For more information please refer to the California Driver Handbook or online at www. dmv.ca.gov. This form must be presented to DMV within 60 days of its completion by the governmental or non-profit entity. A Public Service Agency VERIFICATION FOR REDUCED FEE IDENTIFICATION CARD Instructions to the governmental or non-profit entity Please complete this form in its entirety and give to the applicant for further processing* This form must be presented to the Department of Motor Vehicles DMV within 60 days of its completion by the governmental or non-profit entity. Applicant Information Please Print LAST NAME ADDRESS FIRST CITY MIDDLE STATE ZIP CODE DATE OF BIRTH MM/DD/YYYY CA DRIVER LICENSE / IDENTIFICATION CARD NUMBER The individual applicant named above meets the eligibility requirements for assistance programs under Chapter 2 or Chapter 3 of Part 3 of or Part 5 of or Article 9 of Chapter 10 of Part 6 of or Chapter 10. 1 or Chapter 10. 3 of Part 6 of Division 9 of the Welfare and Institutions Code and is qualified to obtain a California Identification card for a reduced fee as defined in Vehicle Code 14902 c. Government or Non-Profit Entity Information Please Print PRINTED NAME OF REPRESENTATIVE FOR ENTITY ENTITY NAME TELEPHONE NUMBER I certify or declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. X SIGNATURE OF REPRESENTATIVE FOR ENTITY DATE Please bring this original completed form Verification for Reduced Fee Identification Card DL 937 to the DMV along with your payment and a completed Driver License or Identification Card Application DL 44 form. Additional documentation may be required to complete your application* For more information please refer to the California Driver Handbook or online at www. dmv*ca*gov* This form must be presented to DMV within 60 days of its completion by the governmental or non-profit entity. Save time make an appointment online at www. dmv*ca*gov or call 1-800-777-0133. DL 937 REV. 4/2009 UH Clear Form Print. A Public Service Agency VERIFICATION FOR REDUCED FEE IDENTIFICATION CARD Instructions to the governmental or non-profit entity Please complete this form in its entirety and give to the applicant for further processing* This form must be presented to the Department of Motor Vehicles DMV within 60 days of its completion by the governmental or non-profit entity. Applicant Information Please Print LAST NAME ADDRESS FIRST CITY MIDDLE STATE ZIP CODE DATE OF BIRTH MM/DD/YYYY CA DRIVER LICENSE / IDENTIFICATION CARD NUMBER The individual applicant named above meets the eligibility requirements for assistance programs under Chapter 2 or Chapter 3 of Part 3 of or Part 5 of or Article 9 of Chapter 10 of Part 6 of or Chapter 10.