Joint Registered Owner Information
I acknowledge that the information provided on this application will be used to assess and verify my eligibility for assistance, and upon request, I may be required to provide documentation to the Bureau of Automotive Repair verifying household income. My signature gives consent for this information to be shared with other government agencies. I declare, under penalty of perjury under the laws of the State of California, that to the best of my knowledge, the information on this application is true and correct. I understand that submitting false information may result in a criminal conviction in addition to civil penalties, and that I will not be eligible to receive future assistance in the Consumer Assistance Program (CAP). I further understand and agree that if my vehicle does not meet all program eligibility requirements, it will not be allowed into the CAP.