Form DL535 "Report of out-Of-State Traffic Conviction by a Commercial Driver" - California

What Is Form DL535?

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 January 1, 2010;
  • 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 DL535 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form DL535 "Report of out-Of-State Traffic Conviction by a Commercial Driver" - California

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REPORT OF OUT-OF-STATE TRAFFIC CONVICTION
A Public Service Agency
BY A COMMERCIAL DRIVER
The Commercial Motor Vehicle Safety Act of 1986 requires that if you are a commercial driver, you must report to your employer and
to the Department of Motor Vehicles any out-of-state conviction you receive while driving any vehicle. This reporting procedure must
be completed within 30 days of the conviction. A commercial driver is defined as the driver of a vehicle (1) weighing 26,001 lbs. and
more, (2) transporting 15 persons, including the driver, or (3) hauling hazardous materials or wastes which require placarding.
If you hold a California Driver License and received a conviction which occurred outside of California in any motor vehicle, complete
this form. (PLEASE PRINT)
If it is determined that you, as a commercial driver, have not complied with this reporting portion of the law, you may be liable
for a civil penalty not to exceed $2,500 for each offense and criminal penalties not to exceed $5,000 or imprisonment for a
term not to exceed 90 days or both.
Complete lines 1 through 18 and mail to:
Department of Motor Vehicles
Abstract Processing Unit M/S J232
P.O. Box 942890
Sacramento, CA 94290-0001
NOTE: Provide a copy to your employer and retain a copy for your records.
1. TYPE OF VEHICLE CONVICTION OCCURRED IN
Commercial
Other
2. CALIFORNIA DRIVER LICENSE NUMBER
3. FULL NAME (LAST, FIRST, MIDDLE)
4. ADDRESS
5. CITY
STATE
6. ZIP CODE
COUNTY
7. DATE OF BIRTH (MONTH, DAY, YEAR)
8. DOCKET/TICKET/CASE NUMBER
9. DATE OF VIOLATION (MONTH, DAY, YEAR)
DATE ON CONVICTION (MONTH, DAY, YEAR)
10. STATE IN WHICH VIOLATION OCCURRED
11. TRAFFIC LAW OR ORDINANCE VIOLATED
12. DESCRIPTION OF VIOLATION (SUCH AS SPEEDING 1-10 MPH OVER LIMIT, RECKLESS DRIVING, DRUNK DRIVING, ETC.)
13. COURT WHERE FINE WAS PAID
14. COMMERCIAL VEHICLE PLATE NUMBER
STATE
15. VEHICLE DESCRIPTION/CARGO (I.E., TANKER, HAZARDOUS MATERIALS OR WASTES, RADIOACTIVE, ETC.)
16. EMPLOYER
17. EMPLOYER ADDRESS
18. DRIVER’S SIGNATURE
DATE
DL 535 (REV. 1/2010) WWW
Clear Form
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REPORT OF OUT-OF-STATE TRAFFIC CONVICTION
A Public Service Agency
BY A COMMERCIAL DRIVER
The Commercial Motor Vehicle Safety Act of 1986 requires that if you are a commercial driver, you must report to your employer and
to the Department of Motor Vehicles any out-of-state conviction you receive while driving any vehicle. This reporting procedure must
be completed within 30 days of the conviction. A commercial driver is defined as the driver of a vehicle (1) weighing 26,001 lbs. and
more, (2) transporting 15 persons, including the driver, or (3) hauling hazardous materials or wastes which require placarding.
If you hold a California Driver License and received a conviction which occurred outside of California in any motor vehicle, complete
this form. (PLEASE PRINT)
If it is determined that you, as a commercial driver, have not complied with this reporting portion of the law, you may be liable
for a civil penalty not to exceed $2,500 for each offense and criminal penalties not to exceed $5,000 or imprisonment for a
term not to exceed 90 days or both.
Complete lines 1 through 18 and mail to:
Department of Motor Vehicles
Abstract Processing Unit M/S J232
P.O. Box 942890
Sacramento, CA 94290-0001
NOTE: Provide a copy to your employer and retain a copy for your records.
1. TYPE OF VEHICLE CONVICTION OCCURRED IN
Commercial
Other
2. CALIFORNIA DRIVER LICENSE NUMBER
3. FULL NAME (LAST, FIRST, MIDDLE)
4. ADDRESS
5. CITY
STATE
6. ZIP CODE
COUNTY
7. DATE OF BIRTH (MONTH, DAY, YEAR)
8. DOCKET/TICKET/CASE NUMBER
9. DATE OF VIOLATION (MONTH, DAY, YEAR)
DATE ON CONVICTION (MONTH, DAY, YEAR)
10. STATE IN WHICH VIOLATION OCCURRED
11. TRAFFIC LAW OR ORDINANCE VIOLATED
12. DESCRIPTION OF VIOLATION (SUCH AS SPEEDING 1-10 MPH OVER LIMIT, RECKLESS DRIVING, DRUNK DRIVING, ETC.)
13. COURT WHERE FINE WAS PAID
14. COMMERCIAL VEHICLE PLATE NUMBER
STATE
15. VEHICLE DESCRIPTION/CARGO (I.E., TANKER, HAZARDOUS MATERIALS OR WASTES, RADIOACTIVE, ETC.)
16. EMPLOYER
17. EMPLOYER ADDRESS
18. DRIVER’S SIGNATURE
DATE
DL 535 (REV. 1/2010) WWW
Clear Form
Print