REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD - DMV Form 142 - Rev. 12/2014

Sep 18, 2026

Upload by Marry

Request for cancellation or surrender of a California Department of Motor Vehicles driver license or identification card. Collects personal identity details for the person shown on the license, including address, license/ID number, date of birth, and the location where the license is lost, destroyed, attached, or otherwise provided. Includes sections for voluntary surrender, reasons, and certification when cancelling a minor’s application or license, plus signature fields for the requester and DMV employee.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Request Details

Information About the License/ID

Voluntary Surrender or Cancellation

Minor Child Certification

Signatures and DMV Use Only

STATE OF CALIFORNIA ® DEPARTMENT OF MOTOR VEHICLES A Public Service Agency REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD 142 | DMV USE ONLY | | --- | | Doubled From
To | | Information about the document being cancelled or surrendered | Name oF persoNas showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD | | | | --- | --- | --- | --- | | | aDDress ciTY sTaTe Zip coDe | | | | | liceNse or iD carD NUmber To be caNcelleD | DaTe oF birTh | locaTioN oF liceNse
lost/destroyed attached other (explain on reverse) | | Voluntary surrender or cancellation of a DL or ID Card | i voluntarily surrender and request the cancellation of my: Driver license (Dl) or identification card (iD) reason for the cancellation or surrender: | | | | Person cancelling minor child’s application or driver license | is the license in the minor’s possession? Yes Nois there a change in custody of the minor? Yes No
i certify under penalty of perjury under the laws of the state of california that: (check one)
i signed the minor’s application for a license.
i did not sign the application but i gave written consent to the issuance of the minor’s license.
i did not sign the application but now have custody of the minor. | | | | Signature
of person
completing
the form | priNT YoUr Name | | | | | siGNaTUre
X | DaTe | | | | aDDress | | | | DMV Employee | siGNaTUre oF emploYee aND iD NUmber
X | oFFice NUmber DaTe | | Dl 142 (reV. 12/2014) WWW CUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS 142 STATE OF CALIFORNIA ® DEPARTMENT OF MOTOR VEHICLES A Public Service Agency REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD | DMV USE ONLY | | --- | | Doubled From
To | | Information about the document being cancelled or surrendered | Name oF persoNas showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD | | | | | | --- | --- | --- | --- | --- | --- | | | aDDress ciTY sTaTe Zip coDe | | | | | | | liceNse or iD carD NUmber To be caNcelleD | DaTe oF birTh | locaTioN oF liceNse
lost/destroyed attached other (explain on reverse) | | | | Voluntary surrender or cancellation of a DL or ID Card | i voluntarily surrender and request the cancellation of my: Driver license (Dl) or identification card (iD) reason for the cancellation or surrender: | | | | | | Person cancelling minor child’s application or driver license | is the license in the minor’s possession? Yes Nois there a change in custody of the minor? Yes No
i certify under penalty of perjury under the laws of the state of california that: (check one)
i signed the minor’s application for a license.
i did not sign the application but i gave written consent to the issuance of the minor’s license.
i did not sign the application but now have custody of the minor. | | | | | | Signature
of person
completing
the form | priNT YoUr Name | | | | | | | siGNaTUre
X | | | | DaTe | | | aDDress | | | | | | DMV Employee | siGNaTUre oF emploYee aND iD NUmber
X | | | oFFice NUmber | DaTe | Dl 142 (reV. 12/2014) WWW Print Clear Form

FAQs

What information is needed for the license or ID being cancelled or surrendered?

The form requests the person’s name, address, license or ID number, date of birth, and where the license is lost/destroyed/attached or other explanation.

How does the form handle voluntary surrender or cancellation?

It includes a section where the requester indicates they voluntarily surrender and requests cancellation of their driver license or identification card and provides the reason.

What certification is required when cancelling a minor’s driver license or application?

It asks whether the license is in the minor’s possession and whether there is a change in custody, and it requires an oath/penalty of perjury with a selected statement about signing consent or current custody.

Sep 18, 2026

Upload by Marry