Section 330.04 - Additional Requirements for a Registration Service Application for an Original License(a) An Application for Occupational License (Part B) Personal History Questionnaire, Form OL 29 (9/94), provided by the department shall be completed and submitted by each person listed in Section 330.02(b)(4) with the application for an original license required by Section 330.02. (1) Another department-approved version of this form with a different revision date shall be acceptable if the content of the form is in substantial compliance with the requirements of this section.(b) The personal history questionnaire shall contain the following information: (1) The true full name of the applicant.(2) The residence address of the applicant.(3) The business and home telephone numbers of the applicant.(4) The physical description of the applicant including sex, color of hair, color of eyes, height, weight and birthdate.(5) Whether or not the applicant holds a valid California driver license. (A) When the applicant is a holder of a valid California driver license the license number shall be provided.(6) Any name or names the applicant has been known by or used other than the name provided in subsection (b)(1).(7) The experience and employment record of the applicant for the past three years prior to the date the personal history questionnaire is signed and dated by the applicant.(8) Whether or not the applicant has previously been or is currently licensed in California as a registration service; vehicle salesperson, representative, distributor, dealer, dismantler, manufacturer, remanufacturer, transporter, verifier, lessor-retailer; driving school owner, operator or instructor; traffic violator school owner, operator or instructor; or all- terrain vehicle safety training organization or instructor.(A) When the applicant has previously been or is currently licensed as described in subsection (b)(8), each current or previous occupational license number issued to the applicant shall be provided.(9) Whether or not the applicant has ever had a business or occupational license issued by the department or an application for such license refused, revoked, suspended, or subjected to other disciplinary action or was a partner, managerial employee, officer, director, or stockholder in a firm licensed by the department, and the license was revoked, suspended or subject to other disciplinary action. (A) When the applicant answers yes to subsection (b)(9), the occupational license number, the type of license, the action and the date of the action taken by the department shall be provided.(10) Whether or not the applicant has ever had a civil judgment rendered against him/her and whether or not the judgment was a result of activity of the applicant's firm licensed by the department.(A) When the applicant answers that the judgment was a result of activity of the applicant's firm licensed by the department, the amount of the judgment and whether the judgment is paid or unpaid shall be provided.(11) Whether the applicant was ever a partner, managerial employee, officer, director, or stockholder in a firm that had a civil judgment rendered against it and whether or not the judgment was a result of the activity of the firm licensed by the department. (A) When the applicant indicates he/she was a partner, managerial employee, officer, director, or stockholder in a firm that had a civil judgment rendered against it and the judgment was a result of the activity of the firm licensed by the department, the amount of the judgment and whether the judgment is paid or unpaid shall be provided.(12) Whether or not the applicant has ever declared bankruptcy or was a partner, managerial employee, officer, director, or stockholder in a firm that declared bankruptcy. (A) When the applicant indicates he/she has declared bankruptcy or was a partner, managerial employee, officer, director, or stockholder in a firm that declared bankruptcy, the date the bankruptcy was filed and the name and location of the court of jurisdiction shall be provided.(13) Whether or not the applicant has ever been convicted, placed on probation, or released from incarceration following conviction for any crime or offense, either felony or misdemeanor, excluding traffic offenses, within the last ten years. (A) When the applicant indicates he/she was convicted, placed on probation, or released from incarceration following conviction for any crime or offense, either felony or misdemeanor, excluding traffic offenses, within the last ten years, each offense shall be listed with the conviction date, the court of jurisdiction and the disposition.(14) A statement, signed and dated by the applicant which certifies under the penalty of perjury all the answers and the information contained in the personal history questionnaire are true and correct, and includes the city and state where the document was executed.(15) The social security number of the applicant.(c) The applicant shall submit with the personal history questionnaire a certified copy of the arresting agency report and a certified copy of the court documents for each conviction listed pursuant to subsection (b)(13)(A).Cal. Code Regs. Tit. 13, § 330.04
1. Change without regulatory effect renumbering and amending former section 450.04 to section 330.04 filed 7-19-93 pursuant to title 1, section 100, California Code of Regulations (Register 93, No. 30).
2. Amendment of subsection (a), new subsections (a)(1) and (b)(15), and amendment of NOTE filed 3-23-95; operative 4-24-95 (Register 95, No. 12). Note: Authority cited: Section 1651, Vehicle Code; and Section 11350.6, Welfare and Institutions Code. Reference: 42 United States Code 405(c)(2)(C); 42 United States Code 651, et seq.; Section 11401, Vehicle Code; and Section 11350.6, Welfare and Institutions Code.
1. Change without regulatory effect renumbering and amending former section 450.04 to section 330.04 filed 7-19-93 pursuant to title 1, section 100, California Code of Regulations (Register 93, No. 30).
2. Amendment of subsection (a), new subsections (a)(1) and (b)(15), and amendment of Note filed 3-23-95; operative 4-24-95 (Register 95, No. 12).