Form MC152 M "Motor Carrier Permit Notice of Change" - California

What Is Form MC152 M?

This is a legal form that was released by the California Department of Motor Vehicles - 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 December 1, 2015;
  • The latest edition provided by the California Department of Motor Vehicles;
  • 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 MC152 M by clicking the link below or browse more documents and templates provided by the California Department of Motor Vehicles.

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Download Form MC152 M "Motor Carrier Permit Notice of Change" - California

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STATE OF CALIFORNIA
MOTOR CARRIER (CA) #
DEPARTMENT OF MOTOR VEHICLES
®
A Public Service Agency
NOTICE OF CHANGE
Motor Carrier Permit
This form is to be completed for a change of name only, change of address, or adding or deleting a “Doing Business As” (DBA)
name. If your business entity (i.e., individual, partnership, corporation, limited liability company) has changed in some way, a new
application must be filed and a new CA number must be obtained from the California Highway Patrol. A Fictitious Business Name
Statement is required when adding a DBA name.
CHANGE OF NAME
CHANGE OF ADDRESS
ADDING/DELETING DBA
SECTION A: INFORMATION ON RECORD WITH THE DEPARTMENT
Complete all items in this section.
MOTOR CARRIER LEGAL NAME
BUSINESS ADDRESS
CITY
COUNTY
STATE
ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM BUSINESS ADDRESS)
CITY
COUNTY
STATE
ZIP CODE
SECTION B: REQUESTED CHANGES TO THE MOTOR CARRIER PERMIT ACCOUNT
Complete only the items that are changing.
MOTOR CARRIER LEGAL NAME
TELEPHONE NUMBER
(
)
BUSINESS ADDRESS (NOT P.O. BOX OR PMB)
CITY
COUNTY
STATE
ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM BUSINESS ADDRESS)
CITY
COUNTY
STATE
ZIP CODE
ADD DBA
DELETE DBA
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
SIGNATURE OF AUTHORIZED REPRESENTATIVE
DATE
X
If you have any questions, call (916) 657-8153.
Return the completed form to:
REGULAR ADDRESS:
OVERNIGHT ADDRESS:
DEPARTMENT OF MOTOR VEHICLES
DEPARTMENT OF MOTOR VEHICLES
REGISTRATION OPERATIONS DIVISION MS: H875
REGISTRATION OPERATIONS DIVISION MS: H875
P. O. BOX 932370
2415 1ST AVENUE
SACRAMENTO, CA 94232-3700
SACRAMENTO, CA 95818
MC 152 M (REV. 12/2015) WWW
Print
Clear Form
STATE OF CALIFORNIA
MOTOR CARRIER (CA) #
DEPARTMENT OF MOTOR VEHICLES
®
A Public Service Agency
NOTICE OF CHANGE
Motor Carrier Permit
This form is to be completed for a change of name only, change of address, or adding or deleting a “Doing Business As” (DBA)
name. If your business entity (i.e., individual, partnership, corporation, limited liability company) has changed in some way, a new
application must be filed and a new CA number must be obtained from the California Highway Patrol. A Fictitious Business Name
Statement is required when adding a DBA name.
CHANGE OF NAME
CHANGE OF ADDRESS
ADDING/DELETING DBA
SECTION A: INFORMATION ON RECORD WITH THE DEPARTMENT
Complete all items in this section.
MOTOR CARRIER LEGAL NAME
BUSINESS ADDRESS
CITY
COUNTY
STATE
ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM BUSINESS ADDRESS)
CITY
COUNTY
STATE
ZIP CODE
SECTION B: REQUESTED CHANGES TO THE MOTOR CARRIER PERMIT ACCOUNT
Complete only the items that are changing.
MOTOR CARRIER LEGAL NAME
TELEPHONE NUMBER
(
)
BUSINESS ADDRESS (NOT P.O. BOX OR PMB)
CITY
COUNTY
STATE
ZIP CODE
MAILING ADDRESS (IF DIFFERENT FROM BUSINESS ADDRESS)
CITY
COUNTY
STATE
ZIP CODE
ADD DBA
DELETE DBA
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
SIGNATURE OF AUTHORIZED REPRESENTATIVE
DATE
X
If you have any questions, call (916) 657-8153.
Return the completed form to:
REGULAR ADDRESS:
OVERNIGHT ADDRESS:
DEPARTMENT OF MOTOR VEHICLES
DEPARTMENT OF MOTOR VEHICLES
REGISTRATION OPERATIONS DIVISION MS: H875
REGISTRATION OPERATIONS DIVISION MS: H875
P. O. BOX 932370
2415 1ST AVENUE
SACRAMENTO, CA 94232-3700
SACRAMENTO, CA 95818
MC 152 M (REV. 12/2015) WWW
Print
Clear Form