Form OL142 "Traffic Violator School Owner Assurance of Compliance With the Americans With Disabilities Act (Ada) of 1990" - California

What Is Form OL142?

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 August 1, 2013;
  • 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 OL142 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 OL142 "Traffic Violator School Owner Assurance of Compliance With the Americans With Disabilities Act (Ada) of 1990" - California

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DMV USE ONLY
STATE OF CALIFORNIA
OCCUPATIONAL LICENSING NUMBER
DEPARTMENT OF MOTOR VEHICLES
®
TRAFFIC VIOLATOR SCHOOL OWNER
FIRM NAME
A Public Service Agency
ASSURANCE OF COMPLIANCE WITH THE
AMERICANS WITH DISABILITIES ACT (ADA) OF 1990
(To be completed by the owner of school to be licensed)
Pursuant to Section 11202(a)(9) of the California Vehicle Code,
, does hereby
NAME OF SCHOOL
assure the Department of Motor Vehicles that this school will comply with the applicable provisions of sub-chapter II or III of the Americans
with Disabilities Act of 1990 (42 U.S.C. section 12101, et seq.) and any other federal and state laws prohibiting discrimination against
individuals with disabilities. Compliance may include providing sign language interpreters or other accommodations for students with
disabilities.
INSTRUCTIONS: Check the box below, depending on whether ownership is individual, partnership, corporation, limited liability
company, public adult school or community college/public agency or association.
Individual
Partnership
Corporation
Limited Liability Company
Public Adult School or Community College/Public Agency
Association
I/We certify (or declare) under penalty of perjury under the laws of the State of California, that
I am the sole owner of
and that no other person is
PRINT NAME OF BUSINESS
associated in the ownership of the business.
We are co-partners in
and that no other person is
PRINT NAME OF BUSINESS
associated in the ownership of the business.
is incorporated in the State of
and
PRINT NAME OF BUSINESS
is authorized by the California Secretary of State to transact business in California.
is a Limited Liability Company in the State of
PRINT NAME OF BUSINESS
and our Limited Liability Company number is
and is authorized by the California Secretary
of State to transact business in California .
I am the administrator in charge of the TVS school for
.
PRINT NAME OF PUBLIC SCHOOL/COMMUNITY COLLEGE/PUBLIC AGENCY
is an Association.
PRINT NAME
I/We further certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
*23OL142*
Print
Clear Form
OL 142 (REV. 8/2013) WWW
DMV USE ONLY
STATE OF CALIFORNIA
OCCUPATIONAL LICENSING NUMBER
DEPARTMENT OF MOTOR VEHICLES
®
TRAFFIC VIOLATOR SCHOOL OWNER
FIRM NAME
A Public Service Agency
ASSURANCE OF COMPLIANCE WITH THE
AMERICANS WITH DISABILITIES ACT (ADA) OF 1990
(To be completed by the owner of school to be licensed)
Pursuant to Section 11202(a)(9) of the California Vehicle Code,
, does hereby
NAME OF SCHOOL
assure the Department of Motor Vehicles that this school will comply with the applicable provisions of sub-chapter II or III of the Americans
with Disabilities Act of 1990 (42 U.S.C. section 12101, et seq.) and any other federal and state laws prohibiting discrimination against
individuals with disabilities. Compliance may include providing sign language interpreters or other accommodations for students with
disabilities.
INSTRUCTIONS: Check the box below, depending on whether ownership is individual, partnership, corporation, limited liability
company, public adult school or community college/public agency or association.
Individual
Partnership
Corporation
Limited Liability Company
Public Adult School or Community College/Public Agency
Association
I/We certify (or declare) under penalty of perjury under the laws of the State of California, that
I am the sole owner of
and that no other person is
PRINT NAME OF BUSINESS
associated in the ownership of the business.
We are co-partners in
and that no other person is
PRINT NAME OF BUSINESS
associated in the ownership of the business.
is incorporated in the State of
and
PRINT NAME OF BUSINESS
is authorized by the California Secretary of State to transact business in California.
is a Limited Liability Company in the State of
PRINT NAME OF BUSINESS
and our Limited Liability Company number is
and is authorized by the California Secretary
of State to transact business in California .
I am the administrator in charge of the TVS school for
.
PRINT NAME OF PUBLIC SCHOOL/COMMUNITY COLLEGE/PUBLIC AGENCY
is an Association.
PRINT NAME
I/We further certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
AUTHORIZED SIGNATURE
TITLE
DATE
x
*23OL142*
Print
Clear Form
OL 142 (REV. 8/2013) WWW