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DRIVER LICENSE OR IDENTIFICATION CARD  \n142  \n\n| DMV USE ONLY |\n| --- |\n| Doubled From  \u003Cbr>To |\n\n\n| Information about the document being cancelled or surrendered | Name oF persoNas showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD |  |  |\n| --- | --- | --- | --- |\n|  | aDDress ciTY sTaTe Zip coDe |  |  |\n|  | liceNse or iD carD NUmber To be caNcelleD | DaTe oF birTh | locaTioN oF liceNse\u003Cbr> lost/destroyed  attached  other (explain on reverse) |\n| 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:   |  |  |\n| 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\u003Cbr>i certify under penalty of perjury under the laws of the state of california that: (check one)\u003Cbr> i signed the minor’s application for a license.\u003Cbr> i did not sign the application but i gave written consent to the issuance of the minor’s license.\u003Cbr> i did not sign the application but now have custody of the minor. |  |  |\n| Signature\u003Cbr>of person\u003Cbr>completing\u003Cbr>the form | priNT YoUr Name |  |  |\n|  | siGNaTUre\u003Cbr>X | DaTe |  |\n|  | aDDress |  |  |\n| DMV Employee | siGNaTUre oF emploYee aND iD NUmber\u003Cbr>X | oFFice NUmber DaTe |  |\n\nDl 142 (reV. 12/2014) WWW  \nCUT ON LINE AND KEEP THIS PART FOR YOUR RECORDS  \n142  \nSTATE OF CALIFORNIA  \n®  \nDEPARTMENT OF MOTOR VEHICLES  \nA Public Service Agency  \nREQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD  \n\n| DMV USE ONLY |\n| --- |\n| Doubled From  \u003Cbr>To |\n\n\n| Information about the document being cancelled or surrendered | Name oF persoNas showN oN The liceNse or iDeNTiFicaTioN carD To be caNcelleD |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n|  | aDDress ciTY sTaTe Zip coDe |  |  |  |  |\n|  | liceNse or iD carD NUmber To be caNcelleD | DaTe oF birTh | locaTioN oF liceNse\u003Cbr> lost/destroyed  attached  other (explain on reverse) |  |  |\n| 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:   |  |  |  |  |\n| 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\u003Cbr>i certify under penalty of perjury under the laws of the state of california that: (check one)\u003Cbr> i signed the minor’s application for a license.\u003Cbr> i did not sign the application but i gave written consent to the issuance of the minor’s license.\u003Cbr> i did not sign the application but now have custody of the minor. |  |  |  |  |\n| Signature\u003Cbr>of person\u003Cbr>completing\u003Cbr>the form | priNT YoUr Name |  |  |  |  |\n|  | siGNaTUre\u003Cbr>X |  |  |  | DaTe |\n|  | aDDress |  |  |  |  |\n| DMV Employee | siGNaTUre oF emploYee aND iD NUmber\u003Cbr>X |  |  | oFFice NUmber | DaTe |\n\nDl 142 (reV. 12/2014) WWW  \n Print   \nClear Form","cbCairGuwZBMxh6s","https://ap.wps.com/l/cbCairGuwZBMxh6s","pdf",80522,"English","# Request Details\n## Information About the License/ID\n## Voluntary Surrender or Cancellation\n## Minor Child Certification\n## Signatures and DMV Use Only","[{\"question\":\"What information is needed for the license or ID being cancelled or surrendered?\",\"answer\":\"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.\"},{\"question\":\"How does the form handle voluntary surrender or cancellation?\",\"answer\":\"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.\"},{\"question\":\"What certification is required when cancelling a minor’s driver license or application?\",\"answer\":\"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.\"}]","REQUEST FOR CANCELLATION OR SURRENDER OF A DRIVER LICENSE OR IDENTIFICATION CARD - DMV Form 142 - Rev. 12/2014 | PDF",1789717936]