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California Affidavit of Non-Use

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The California affidavit of non-use is provided by the Department of Motor Vehicle of California and used by the affiant to show that the vehicle will not be operated.

California Affidavit of Non-Use
California Affidavit of Non-Use
A Public Service Agency
REG 5090 (REV. 3/2010) WWW
AFFIDAVIT OF NON-USE
PLEASE READ CAREFULLY PRIOR TO COMPLETING FORM
If your vehicle is currently registered and you decide not to operate it, you must either maintain insurance or notify DMV by
submitting an AFFIDAVIT OF NON-USE that the liability coverage on the vehicle has been cancelled. Once an Affidavit of
Non-Use has been updated on the record, the vehicle cannot be operated on a California highway (street/roadway) until proof
of nancial responsibility (e.g. liability insurance) has been submitted and veried by the DMV.
RULES FOR THE ACCEPTANCE OF THE AFFIDAVIT OF NON-USE:
1. THE VEHICLE MUST BE CURRENTLY REGISTERED: The vehicle must have a valid tag on the license plate. If the
vehicles registration is expired, this form will not be accepted.
2. THE AFFIDAVIT OF NON-USE MUST BE RECEIVED PRIOR TO THE SUSPENSION DATE: If vehicles registration is
already suspended, this form will not be accepted.
3. IF THE VEHICLE’S REGISTRATION EXPIRES WITHIN 75 DAYS OF THE SUBMISSION OF THIS FORM, THE AFFIDAVIT
OF NON-USE WILL NOT BE ACCEPTED. If the vehicle is not being operated, a Planned Non-Operation certication must
be led.
FILING AFFIDAVIT OF NON-USE:
1. Online at: www.dmv.ca.gov Use the Affidavit of Non-Use link. With this option, you can print a conrmation that the form
was accepted.
*OR*
2. Automated Phone at: 1-800-777-0133. With this option, you will receive a conrmation message.
*OR*
3. Mail to: DMV–Vehicle Insurance Program (VIP) Unit, P.O. Box 997408 M/S N305, Sacramento, CA 95899-7408.
No conrmation will be sent that the form was accepted.
AFFIDAVIT OF NON-USE
VEHICLE IDENTIFICATION NUMBER LICENSE PLATE NUMBER MAKE YEAR MODEL
The above described vehicle is not being operated or parked on any California roadway so as to require evidence of nancial
responsibility. I understand that if the vehicle is operated or parked on a California roadway prior to complying with all applicable
registration and nancial responsibility (liability insurance) laws, I will be subject to citation.
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
PRINTED LAST NAME FIRST NAME MIDDLE NAME DAYTIME TELEPHONE NUMBER
( )
SIGNATURE
X
DATE
For more information please visit the Department of Motor Vehicles website (www.dmv.ca.gov).
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California Affidavit of Non-Use