This form should only be used by dealers who already possess a CA Identification Number. If you wish to apply for a CA Identification Number, please submit your request through the following Online Application.
How much personal information you provide is up to you. However too little information may impact our ability to properly respond to or handle your request. To learn how we safeguard your personal information, please read our Privacy Statement. If you don‘t provide your name and certain other information, it may be impossible for us to respond to or refer your request.
Dealer’s Information
Mandatory fields are marked with an asterisk (*).