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Form 2 Revised California San Bernardino: What You Should Know

Make sure to include 25.00 if submitting by mail. For assistance, email ccndmh-certificatecdph.ca.gov. DPS may require that your information be provided in writing so that a verification can be sent back to you.  DPS will send you a verification of your application that confirms that you are the applicant, and that you are the person named in the application. If you do not see this confirmation, please call.  Filing Date: 07/18/2018. All applications for a certificate or license must be filed by the “filing” date listed above. Find your Divisional Application | Division of Alcohol and Drug Programs There are two forms; one for alcohol and one for other drugs. You will need to complete the appropriate form and submit in person.  Find your California DUI | California Department of Alcohol and Drug Services Form Number. Description, Revised Date. 17-1712-050, Application for Certificate, for Operating or driving under the influence of alcohol or a controlled substance, 08/29/18. Forms and Rules | Division of Alcohol and Drug Programs Find your DAMP | California Department of Alcohol and Drug Services Form Number. Description, Revised Date. 17-1367-000, Certificate of Arrest, For Operating or driving under the influence of alcohol or a controlled substance, 08/30/18. Find your DAMP — State of California Form Number. Description, Revised Date. 13-1313-050, Application for Certification of Intoxication Not Resulting from Driving While Intoxicated, for Operating or driving under the influence of alcohol or a controlled substance, 08/30/18. Find your DAMP — State of California Application for a License to Drive an Industrial Vehicle | DAMP Form Number. Description, Revised Date. 11-1011-050, License to Drive an Industrial Vehicle — Application for Certificate of Registration, Application for a Certificate of Certificate — Driver, 08/30/18. Find your DAMP — State of California Diversion Program | DAMP Form Number. Description, Revised Date. 03-0905-010, Application for Diversion of Individual with Mental Disease, for Diversion of Individual with Mental Disability, 06/11/18.

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