California Consumer Assistance Program Application
This application allows California residents to apply for financial assistance to retire their vehicle. Eligible applicants may receive up to $1,500 for vehicle retirement or repair assistance. Complete this form accurately and submit it to receive support from the Bureau of Automotive Repair.
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How do I fill this out?
To fill out this application, gather your personal and vehicle information beforehand. Ensure all sections of the form are completed accurately to avoid delays. Double-check your information before submitting the application to the Bureau of Automotive Repair.

How to fill out the California Consumer Assistance Program Application?
1
Gather all necessary personal and vehicle information.
2
Choose your program option: Vehicle Retirement or Repair Assistance.
3
Fill out all sections of the application completely.
4
Sign and date the application form.
5
Submit your completed application to the Bureau of Automotive Repair.
Who needs the California Consumer Assistance Program Application?
1
Low-income residents looking to retire their vehicle for environmental reasons.
2
Vehicle owners whose cars failed a smog check and require repairs.
3
Individuals seeking financial support to manage automotive emissions.
4
Families needing assistance with vehicle retirement due to financial constraints.
5
Anyone interested in state-sponsored programs for vehicle repair and retirement.
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What are the instructions for submitting this form?
To submit this form, mail your completed application to the Bureau of Automotive Repair at 10949 N. Mather Blvd., Rancho Cordova, CA 95670. Alternatively, you can contact them at 866.272.9642 for any submission inquiries. Ensure all documents are included to avoid delays in processing your application.
What are the important dates for this form in 2024 and 2025?
Currently, there are no specific deadlines for 2024 and 2025. However, applications are processed based on fund availability. It's essential to apply as early as possible to ensure assistance.

What is the purpose of this form?
The purpose of this form is to provide California residents with financial assistance for vehicle retirement or repair. This initiative aims to promote environmental sustainability by encouraging the reduction of older, high-emission vehicles. By completing this application, qualified individuals can receive monetary support to improve vehicle emissions compliance and enhance public health.

Tell me about this form and its components and fields line-by-line.

- 1. Registered Owner Information: Details about the primary vehicle owner including name, address, and contact information.
- 2. Vehicle Information: Information related to the vehicle such as make, model, VIN, and license plate.
- 3. Income Verification: Details regarding household income and the number of individuals living in the household.
- 4. Signature Section: Space for signatures from registered owners attesting to the accuracy of the information.
What happens if I fail to submit this form?
If the application is not submitted correctly, it may be returned for corrections. This can delay the assistance process and may result in missed funding opportunities. It is crucial to follow all instructions carefully to ensure successful submission.
- Incomplete Information: Applications with missing details will be returned and cannot be processed.
- Inaccurate Entries: False information may lead to legal repercussions and disqualification from the program.
- Delayed Processing: Any errors can postpone the application review and result in funding delays.
How do I know when to use this form?

- 1. To Retire a Vehicle: If you are an owner of an older vehicle that is no longer viable for use.
- 2. For Emission Repairs: To obtain funding for emissions-related repairs after a failed smog inspection.
- 3. For Financial Assistance: When facing economic hardship and needing support with vehicle compliance.
Frequently Asked Questions
How do I apply for assistance?
Start by filling out the Consumer Assistance Program Application accurately.
What information do I need to provide?
You will need personal information, vehicle details, and household income details.
Can I edit this PDF online?
Yes, you can easily edit the PDF using PrintFriendly’s editing tools.
How do I submit my application?
Mail your completed application to the Bureau of Automotive Repair.
What happens after I submit the application?
Your application will be reviewed for eligibility based on the provided information.
What if my application is incomplete?
Incomplete applications may be returned and cannot be processed.
Can I get help with filling out the form?
Yes, guidance is available through the Department of Consumer Affairs.
How can I check the status of my application?
Contact the Bureau of Automotive Repair for updates on your application.
Do I need to provide income verification?
Yes, income verification may be required to assess eligibility.
Is there a deadline for submitting this application?
It's recommended to submit as soon as possible to ensure assistance availability.
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