Form TR-0016 "Transportation Permit Rider" - California

What Is Form TR-0016?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2000;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form TR-0016 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form TR-0016 "Transportation Permit Rider" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ADA Notice
TRANSPORTATION PERMIT RIDER
For individuals with sensory disabilities, this document is available in alternate
TR-0016 (REV 5/2000)
formats. For information, call (916) 445-1233, TTY 711, or write to Records
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE USE ONLY
EFFECTIVE
TO BE ATTACHED TO AND MADE A PART OF TRANSPORTATION PERMIT NUMBER:
EXPIRES SUNSET:
PERMITTEE:
PERMIT NUMBER:
ADDRESS:
PAGE
OF
PHONE #:
FAX #:
DATE:
AUTHORIZED AGENT:
AUTHORIZED STATE AGENT:
STATE USE ONLY
CASH
CK/CC #:
CHARGE
DB#:
EXEMPT
NO CHARGE
FEE: $
THIS RIDER DOES NOT NULLIFY NOR MAKE VOID ANY CITATION ISSUED TO THE ORIGINAL PERMIT. EXCEPT AS AMENDED ABOVE ALL OTHER
ITEMS AND PROVISIONS OF THE ORIGINAL PERMIT SHALL REMAIN IN EFFECT. THIS RIDER MUST BE ATTACHED TO THE ORIGINAL PERMIT.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
ADA Notice
TRANSPORTATION PERMIT RIDER
For individuals with sensory disabilities, this document is available in alternate
TR-0016 (REV 5/2000)
formats. For information, call (916) 445-1233, TTY 711, or write to Records
and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE USE ONLY
EFFECTIVE
TO BE ATTACHED TO AND MADE A PART OF TRANSPORTATION PERMIT NUMBER:
EXPIRES SUNSET:
PERMITTEE:
PERMIT NUMBER:
ADDRESS:
PAGE
OF
PHONE #:
FAX #:
DATE:
AUTHORIZED AGENT:
AUTHORIZED STATE AGENT:
STATE USE ONLY
CASH
CK/CC #:
CHARGE
DB#:
EXEMPT
NO CHARGE
FEE: $
THIS RIDER DOES NOT NULLIFY NOR MAKE VOID ANY CITATION ISSUED TO THE ORIGINAL PERMIT. EXCEPT AS AMENDED ABOVE ALL OTHER
ITEMS AND PROVISIONS OF THE ORIGINAL PERMIT SHALL REMAIN IN EFFECT. THIS RIDER MUST BE ATTACHED TO THE ORIGINAL PERMIT.