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The DMV Transmittal DL 11 form is a versatile document designed to facilitate various types of transactions and declarations for individuals dealing with driver's licenses or ID cards in California. It is used by applicants to submit specific details about themselves, like their name, address, social security number, and telephone numbers. The form also caters to emancipated minors by allowing them to declare their status and request for an ID card or driver's license without the need for a guarantor’s signature, provided they submit additional required proof. Another vital aspect of this form is the section where minors, or those responsible for them, can consent to or decline liability for civil damages caused by the minor. Furthermore, the DL 11 form serves individuals with stable vision conditions, enabling them to report their situation to the DMV, often accompanied by documentation from an eye doctor. Lastly, the form has sections for limited-term license recommendations and medical report reviews, making it essential for applicants with specific medical conditions or restrictions. By providing a comprehensive way to communicate various crucial details to the DMV, this form streamlines the process of obtaining, renewing, or updating licenses and ID cards, making it an indispensable tool for residents navigating California’s licensing requirements.

Preview - Dmv Transmittal Dl 11 Form

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TRANSMITTAL FORM

Applicant—Complete Only Sections That Apply

NAME (FIRST, MIddle, laST)

DL or ID NUMBER

SOCIAL SECURITY NUMBER

ADDRESS

CITY

STATE

ZIP CODE

DAYTIME AND EVENING TELEPHONE NUMBER

(

)

(

)

Emancipated Minor

I am an unmarried minor. I am declaring myself emancipated because:

 

 

(Driver License)

_________________________________________________________________________________

 

 

I am also submitting Proof of Financial Responsibility (SR 1P) in lieu of a guarantor’s signature.

 

My parents are:

 

 

 

 

 

 

 

deceased.

 

 

 

 

 

 

 

nonresidents of California.

 

 

 

 

 

 

 

living (one or both) and are California residents.

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF PARENT (FIRST, MIddle, laST)

 

ADDRESS

CITY

STATE

ZIP

 

 

 

 

 

 

 

 

 

NAME OF PARENT (FIRST, MIddle, laST)

 

ADDRESS

CITY

STATE

ZIP

 

 

 

 

 

 

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is

 

true and correct.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

NAME OF PARENT (FIRST, MIddle, laST)

 

SIGNATURE

 

 

 

 

 

 

 

 

 

X

 

 

Emancipated Minor

Please issue an identification card to me marked with the word “EMANCIPATED” because:

 

(ID Card)

I have entered into a valid marriage. (Civil Code Section 62)

 

 

 

 

 

 

I am on active duty in the Armed Forces. (Civil Code Section 62)

 

 

 

of a Declaration of Emancipation. (Family Code Sections 7120—7123)

 

 

 

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is

 

true and correct.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

NAME OF PARENT (FIRST, MIddle, laST)

 

SIGNATURE

 

 

 

 

 

 

 

 

 

X

 

 

Consent for

I am the _____________________________of ___________________________________________

Issuance

 

 

RELATIONSHIP

 

 

NAME OF MINOR

 

 

(Parents Not

and, as such, a person required to sign and verify a minor’s application for a driver license. I consent to

Accepting

the issuance of a driver license to this minor provided the minor’s application is accompanied by proof of

Civil Liability)

financial

responsibility as defined

by the California Vehicle Code (CVC). I do not consent to accept the

 

civil liability specified in CVC §17707 and §17708.

 

 

 

 

 

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is

 

true and correct.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

NAME OF PARENT (FIRST, MIddle, laST)

 

SIGNATURE

 

 

 

 

 

 

 

 

 

X

 

 

Acceptance of

This minor resides with me and my relationship to this minor is _____________________________

Liability For Minor

(Dependent or

• I am age 18 or over and a resident of California,

 

 

 

 

ward of the court)

• This minor is a dependent or ward of the court,

 

 

 

 

I consent to the issuance of an original or duplicate driver license to this minor,

I assume the liability specified in California Vehicle Code §17707 through §17710.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

 

DATE

NAME OF PARENT (FIRST, MIddle, laST)

SIGNATURE

 

 

 

X

 

 

 

 

 

 

 

 

DL 11 (REV. 8/2009) WWW

TRANSMITTAL FORM

Applicant—Complete Only Sections That Apply

NAME (FIRST, MIddle, laST)

DL or ID NUMBER

SOCIAL SECURITY NUMBER

ADDRESS

CITY

STATE

ZIP CODE

DAYTIME AND EVENING TELEPHONE NUMBER

(

)

(

)

Long Standing

I have a long standing vision condition in my right eye only left eye only since _______________

Stable Vision

because of a:

 

 

Condition Statement

 

 

 

 

vision disorder: __________________________________________________________________

 

trauma or accident: _______________________________________________________________

 

DMV has this information along with documentation from my eye doctor.

Yes

No

 

If no, attach the Report of Vision Examination (DL 62).

 

 

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

 

DATE

SIGNATURE

 

 

X

 

 

 

Utility Form

Use this section to transmit information.

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

 

DATE

 

SIGNATURE

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

Limited Term

Examiner is recommending

Issuance

Extension

Ending a limited term (L/T) license.

Recommendation

 

L/T Years Recommendation ____________________

With Corrective Lenses (Code 01)

 

(Key 10 in Attach Field on TEST RESULTS screen)

 

 

Clearly state the reason for issuing, extending, or ending the limited term DL:

Medical Exam

Applicant is disqualified

The medical report needs further evaluation because:

Report Review

Recommendation

 

(Send to DSAU) Mail Station J234)

A copy of medical report is attached

 

 

 

 

 

DMV Employee

DATE

EMPLOYEE’S PRINTED NAME/SIGNATURE/ID NO.

OFFICE NAME/ID NO.

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clear Form

Print

DL 11 (REV. 8/2009) WWW

Form Data

Fact Name Fact Detail
Form Identification The form is identified as DL 11 and its revision is 8/2009.
Purpose of Form Used to transmit various information and declarations related to driver's licenses and ID cards, including emancipation status and vision conditions.
Governing Law for Emancipated Minor Section The emancipated minor sections reference Civil Code Section 62 and Family Code Sections 7120—7123 as the governing laws.
Financial Responsibility Proof Requirement Applicants declaring emancipation must submit Proof of Financial Responsibility (SR 1P) or have consent from a person assuming liability.
Verification Under Penalty of Perjury All sections of the form require certification or declaration under penalty of perjury under the laws of the State of California.

Instructions on Utilizing Dmv Transmittal Dl 11

After completing the DMV Transmittal DL 11 form, you are taking an important step towards addressing your specific DMV needs, whether that's declaring emancipation, adjusting your driver license status based on a vision condition, or anything in between. Knowing how to properly fill out this form ensures your request is processed efficiently and accurately. Below you'll find a detailed guide to help navigate the form sections that apply to your situation.

  1. Start by filling in your personal information in the required fields including: NAME (FIRST, Middle, LAST), DL or ID NUMBER, SOCIAL SECURITY NUMBER, ADDRESS, CITY, STATE, ZIP CODE, DAYTIME AND EVENING TELEPHONE NUMBER.
  2. If you are an emancipated minor, provide details under the "Emancipated Minor" section for either the "Driver License" or "ID Card" as it applies to you. Include the reason for emancipation and check the applicable box. If submitting Proof of Financial Responsibility (SR 1P), indicate so.
  3. For parents of emancipated minors filing under this section, enter NAME OF PARENT (FIRST, Middle, LAST), ADDRESS, CITY, STATE, ZIP for one or both parents as required.
  4. Under the section "Consent for Issuance (Parents Not Accepting Civil Liability)," indicate your relationship to the minor and your consent status regarding their driver license issuance.
  5. For those accepting liability for a minor (Dependent or Ward of the Court), provide your relationship to the minor and signify consent for their driver license issuance, along with assuming liability as defined by California Vehicle Code.
  6. If you have a long-standing stable vision condition, fill in the details under the "Long Standing Stable Vision Condition" section. Indicate which eye is affected, the cause, and whether DMV has documentation on file. If not, attach Report of Vision Examination (DL 62).
  7. Use the "Utility Form" section to transmit general information. Ensure all stated information is accurate.
  8. If applicable, complete the "Limited Term Issuance Extension Ending Recommendation" according to the examiner's recommendation for a limited term license.
  9. For those reviewing a medical report, indicate the disposition under "Medical Exam Report Review Recommendation" and attach any pertinent documents.
  10. Sign and date each section that you fill out, verifying the information under penalty of perjury under the laws of the State of California.
  11. Ensure all required documentation is attached before printing the form. Click "Print" and provide a copy to the necessary DMV office or as instructed.

By following these steps carefully, you'll have accurately completed the DMV Transmittal DL 11 form. This prepares your documents for review and moves you one step closer to fulfilling your requirement with the Department of Motor Vehicles.

Obtain Answers on Dmv Transmittal Dl 11

  1. What is the purpose of the DMV Transmittal DL 11 form?

    The DMV Transmittal DL 11 form serves multiple purposes for different individuals aiming to communicate their specific circumstances to the Department of Motor Vehicles (DMV). Primarily, it is used by applicants to declare situations such as emancipation, a stable vision condition, or to consent or not to accept civil liability for a minor's driving. It facilitates the transmission of detailed personal information and specific requests or declarations to the DMV, enabling the agency to process various types of applications correctly.

  2. Who needs to complete the Emancipated Minor sections on the form?

    The Emancipated Minor sections should be completed by minors who are unmarried and declaring themselves as emancipated for the purpose of applying for a Driver License or ID Card without the need for a guarantor’s signature. This includes minors who are either living apart from their parents due to specific conditions listed under California law, such as having entered into a valid marriage, being on active duty in the Armed Forces, or holding a Declaration of Emancipation.

  3. What is the significance of providing a Social Security Number on this form?

    Providing a Social Security Number (SSN) on the DL 11 form is crucial for identity verification purposes. The DMV uses the SSN to accurately identify applicants, ensuring that their records are correctly updated and managed. It also helps in preventing identity theft and fraud by confirming the applicant's identity against government records.

  4. What does the section titled "Long Standing Stable Vision Condition Statement" entail?

    This section is intended for individuals who have a long-term, stable vision condition affecting either the right eye, left eye, or both. It requires the applicant to disclose the nature of their vision disorder or the trauma that led to their current vision condition. Additionally, it asks whether the DMV already has this information, indicating if further documentation, such as the Report of Vision Examination (DL 62), needs to be attached. This ensures that the DMV is aware of the applicant's visual capabilities and limitations for driving.

  5. How does an individual consent to or decline the acceptance of civil liability for a minor’s driving?

    An individual can consent to or decline the acceptance of civil liability for a minor’s driving by completing the specific section related to issuing a driver license to a minor. If consenting, the person acknowledges their responsibility under California Vehicle Code §17707 through §17710, which involves assuming liability for accidents or damage caused by the minor while driving. If not consenting, it indicates a refusal to accept such civil liabilities, implying that another form of financial responsibility must be provided for the minor.

  6. When is a medical report required to be attached to the DL 11 form?

    A medical report needs to be attached to the DL 11 form when the applicant has a medical condition that could affect their ability to drive safely. If the Examiner’s Recommendation section is completed, indicating that the applicant is disqualified or that the medical report needs further evaluation, attaching a medical report is necessary. This allows the DMV to thoroughly evaluate the applicant's health status and make an informed decision regarding licensing.

  7. What must an applicant do if they have not previously submitted documentation for a stable vision condition?

    If an applicant has not previously submitted documentation for a stable vision condition to the DMV, they are required to attach the Report of Vision Examination (DL 62) form alongside the DL 11 form. This is necessary for the DMV to assess the applicant's vision accurately and determine their eligibility for driving or if any restrictions are needed to accommodate their vision condition.

Common mistakes

Filling out the DMV Transmittal DL 11 form requires attention to detail and a thorough understanding of the instructions. Here are common mistakes to avoid in order to ensure the form is completed accurately:

  1. Not completing all sections that apply: It is crucial to thoroughly read through the form and fill out every section applicable to your situation to ensure your application is processed without delays.
  2. Incorrect or incomplete personal information: Providing inaccurate details such as your name, address, or Social Security number can lead to significant issues or the outright rejection of your application.
  3. Failing to provide proof of financial responsibility: If declaring emancipation, applicants must attach Proof of Financial Responsibility (SR 1P). Overlooking this requirement can invalidate your declaration.
  4. Forgetting to indicate your eye condition: Not specifying or incorrectly marking the condition of your vision can result in the form being returned for corrections, especially if the DMV does not have prior documentation.
  5. Omitting parent or guardian information where necessary: When a minor's application requires parental consent or when declaring emancipation, accurate details of the parent or guardian are essential.
  6. Neglecting to attach additional required documentation: Whether it's a Report of Vision Examination (DL 62) or a medical report for the Limited Term Examiner's Review, failing to attach necessary documents can halt the process.
  7. Signature errors: Missing signatures, whether by the applicant or a parent/guardian, are a common oversight that leads to processing delays. It's also crucial that the signatory certifies the truthfulness of the information under penalty of perjury.

Being meticulous in reviewing all the information you provide on the DMV Transmittal DL 11 form is pivotal. This not only ensures that your application or transmittal is processed efficiently but also helps in avoiding unnecessary setbacks. Taking the time to double-check that all sections relevant to your specific needs are completed fully and accurately will ultimately expedite your process with the DMV.

Documents used along the form

When handling documents connected to the DMV Transmittal DL 11 form, individuals find themselves navigating a maze of paperwork that is both crucial and specific to their circumstances. The DL 11 form serves as a pivotal piece in multiple scenarios, whether declaring financial independence for minors seeking emancipation or meeting the criteria for special licensure. However, this form does not exist in isolation. To ensure a complete and successful submission, several other documents frequently accompany the DL 11, each serving its unique purpose and further streamlining the application process.

  • Report of Vision Examination (DL 62): This form is vital for applicants with vision conditions affecting their driving abilities. It contains a detailed examination by an eye doctor, affirming whether the vision condition stabilizes to the extent that it allows safe driving. This document complements the DL 11 section on stable vision conditions, providing the essential medical evidence to support the claim.
  • Proof of Financial Responsibility (SR 1P): For emancipated minors or those under certain legal restrictions, proving financial independence is key. This document outlines the applicant's ability to assume financial liability for their driving, an essential criterion for processing their application without a guarantor.
  • Certificate of Emancipation: Specifically for minors declaring themselves emancipated, this legal document certifies their status as independent, allowing them to undertake responsibilities, including those related to driving, without parental consent.
  • Medical Examination Report for Commercial Driver Fitness Determination: Though not directly mentioned, commercial drivers or applicants with specific medical conditions might need to submit a comprehensive health report. This document assesses the individual's medical fitness for driving, particularly for those seeking a limited term license due to health issues.
  • Application for Original or Duplicate Driver License or Identification Card (DL 44): Commonly required for new drivers, changes to personal details, or replacements. It collects basic but essential information about the applicant, serving as the foundation of their DMV records. Filling out a DL 44 ensures that all personal identifiers are up-to-date and correctly reflected in the DMV system, linking seamlessly with the information on the DL 11.

Gathering these documents can be a meticulous process, but it's a necessary step towards achieving one's driving privileges or updating personal information with the DMV. Each document plays its unique role in verifying the applicant's eligibility, medical fitness, and legal standing. For those navigating through this process, understanding and compiling these forms diligently is the first stride towards a successful DMV transaction.

Similar forms

  • Form SS-5: Application for a Social Security Card. This form is similar to the DMV Transmittal DL 11 as it requires applicants to provide personal information such as name, address, and Social Security number, serving as an official request for governmental identification services.

  • Passport Application Form DS-11: Both this form and the DMV Transmittal DL 11 collect detailed personal information, including name, Social Security number, and contact information, for the purpose of issuing an official identity document.

  • State Voter Registration Forms: Like the Transmittal DL 11, voter registration forms ask for personal details, including name and address, and often require a declaration under penalty of perjury regarding the accuracy of information provided.

  • Form I-9, Employment Eligibility Verification: This form, used for verifying the identity and employment authorization of individuals hired for employment in the United States, requires similar personal data and documentation verification as the DL 11 form.

  • Form DS-3053: Statement of Consent for Issuing a Passport to a Child. Comparable to sections of the DL 11 related to minors, this form requires parental consent and legal declarations for the issuance of a passport to a minor.

  • Change of Address Form (USPS Form 3575): Similar to the utility section of the DL 11 form, this form is used to update personal address information with a government agency, in this case, the United States Postal Service.

  • Medical Examination Report Form for Commercial Driver License (CDL): This form requires health-related information and physician certification, similar to the sections of the DL 11 dealing with vision conditions or other medical declarations affecting licensure.

  • Form DS-5504: Application for a U.S. Passport (Name Change, Data Correction, and Limited Passport Book Replacement). Like the DL 11, it involves submitting personal information and documentation for the purpose of updating or correcting official identification documents.

  • Proof of Financial Responsibility Statement (SR-22): Similar to the section of the DL 11 requiring proof of financial responsibility, this form is required to show that the applicant has met minimum insurance requirements set by the state.

  • Consent Form for Minor Travel. This form, not unlike portions of the DL 11 concerning emancipated minors or minors seeking licensure with parental consent, requires legal declarations and permissions related to the care and responsibility of minors.

Dos and Don'ts

Filling out forms for the Department of Motor Vehicles (DMV) can sometimes feel like navigating a maze without a map. The DMV Transmittal DL 11 form, important for various circumstances including those involving emancipated minors or specific vision conditions, is no exception. To make this process a bit easier, here are some do's and don'ts that can help ensure you fill out the form accurately and efficiently.

Do:
  • Read the entire form before filling it out. Understanding all sections applicable to your situation will give you a clearer idea of how to proceed and what information you need to have on hand.
  • Provide accurate and complete information. Whether it's your personal details or specific statements related to your condition or status, the accuracy of this information is paramount. False statements could lead to legal ramifications.
  • Attach additional required documents. For instance, if you're reporting a vision condition and haven't previously submitted documentation to the DMV, you'll need to attach the Report of Vision Examination (DL 62).
  • Sign and date the form where required. Your signature certifies that the information provided is true to the best of your knowledge, making it a crucial step in the submission process.
Don't:
  • Skip sections that apply to you. Even if a section seems only partially relevant, review it carefully. Failing to complete all applicable sections could result in the delay or denial of your application.
  • Forget to review your form for errors. A simple mistake like a misspelled name or incorrect ID number can set back your application considerably. Always double-check your entries for accuracy.
  • Use inapplicable sections to provide information. This form is designed with specific purposes in mind for each section. Inputting information in the wrong section could confuse the processing of your form.
  • Assume you don't need to submit additional documentation. Various cases, such as declaring emancipation or reporting a stable vision condition, require additional proof. Don't assume the form alone is enough.

Approaching the DMV Transmittal DL 11 form with these guidelines in mind can streamline the process, making it more manageable and less likely to result in errors or delays. Remember, the goal is not just to complete the form, but to ensure it facilitates your requests smoothly and effectively.

Misconceptions

Many people encounter the DMV Transmittal DL 11 form, especially when dealing with driver's license or ID card applications. However, there are several misconceptions about this form. Here are four common misunderstandings explained:

  • Only applicable for new drivers: While the form is commonly associated with new drivers, particularly minors applying for their first driver's license, it's also used in various other situations. For instance, emancipated minors applying for an identification card marked “EMANCIPATED” or adults reporting a stable vision condition utilize this form, illustrating its broader applicability beyond just new driver applications.

  • It's only for California residents: While the form is indeed under the jurisdiction of the California Department of Motor Vehicles, specific sections apply to non-residents or cases involving other states, like when a parent residing outside California consents to a minor’s application. This highlights the form's relevance in scenarios involving interstate matters and not solely California residents.

  • The form is solely for driver's license-related processes: While a significant portion of the form deals with driver's license applications, it also facilitates the process for obtaining an ID card marked "EMANCIPATED" for emancipated minors. Furthermore, adults with stable vision conditions or medical examiners recommending a limited term license due to medical reasons use the form, indicating its multifaceted use beyond just driver's license issues.

  • Requires detailed medical information for all sections: While some sections require medical information, such as the stable vision condition statement or medical exam reports, not all sections of the form demand detailed medical data. For example, sections pertaining to emancipated minors or those relating to civil liability acceptance mainly require personal and legal declarations rather than in-depth medical details. This clarifies that the necessity for medical information varies significantly across different parts of the form.

Understanding these aspects of the DMV Transmittal DL 11 form can help individuals more accurately navigate their specific requirements and ensure that their applications are completed correctly and efficiently.

Key takeaways

Understanding how to properly fill out the DMV Transmittal DL 11 form is crucial for applicants seeking to communicate various circumstances to the Department of Motor Vehicles (DMV). Here are five key takeaways from this process:

  • Accurate personal information is essential. Applicants must ensure all sections that apply to them are filled out with accurate and current details. This includes the applicant's full name, driver's license or identification number, social security number, address, and contact numbers. Providing incorrect information could lead to delays or issues with the application process.
  • Emancipated minors have specific requirements. If an applicant is an emancipated minor, they must declare their status and provide proof of financial responsibility (SR 1P) in lieu of a guarantor’s signature. Additionally, emancipated minors seeking an identification card marked "EMANCIPATED" must meet certain criteria and provide relevant documentation, such as proof of a valid marriage, active duty in the Armed Forces, or a Declaration of Emancipation.
  • Consent and liability acceptance for minors. In instances where a minor is applying for a driver license, a parent or guardian's signature is necessary to consent to the issuance of the license and to accept or deny civil liability as specified in the California Vehicle Code. This element is critical for ensuring that the minor has the necessary support and understanding of responsibility from their parent or guardian.
  • Vision conditions must be disclosed. Applicants with a long-standing stable vision condition are required to disclose this information, including the specific condition and whether it affects the right or left eye. It's also mandatory to indicate if the DMV already has documentation from an eye doctor on file. If not, a Report of Vision Examination (DL 62) must be attached to the form. This ensures that all drivers meet the necessary vision requirements to operate a vehicle safely.
  • Limited Term License details. The form allows DMV examiners to recommend the issuance, extension, or ending of a limited term driver's license, which can be due to medical reasons among other factors. The reason for the recommendation must be clearly stated, and if a medical exam indicates the applicant is disqualified or the medical report needs further review, this section provides an efficient means to communicate those recommendations to the appropriate DMV department.

Comprehending and adhering to these instructions when filling out the DL 11 form is integral to the application process for driver's licenses and identification cards, particularly for minors and those with specific circumstances that need to be declared to the DMV.

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