
A Public Service Agency
FIELD OFFICE USE ONLY
OCCUPATIONAL LICENSING NUMBER ISSUED
PHOTO SEQUENCE NUMBER
TOTAL FEE COLLECTED
DATE FEES PAID (DATE LINE STAM P)
Temporary Permit Issued
Yes Date
No If no, attach temporary permit
Attach DMV 8016
HEADQUARTERS USE ONLY
DATE OCCUPATIONAL LICENSE EXPIRES
OL 16 S (REV. 10/2020) WWW
APPLICATION FOR SALESPERSONS LICENSE
ALL APPLICATION FEES ARE NON-REFUNDABLE
All licensees are responsible for renewing their license prior to the expiration date shown on license.
SECTION 1 — APPLYING FOR
(Check one box.)
Original (SPO) Renewal (SPR) Reinstatement (SRX) (expired license)
SECTION 2 — APPLICANT INFORMATION
(Type or Print)
USE YOUR TRUE FULL NAME
NAME (FIRST, MIDDLE, L AST) TELEPHONE NUMBER
( )
RESIDENCE ADDRESS (NUMBER AND STREET) CITY STATE ZIP CODE
OTHER ADDRESS, IF APPLICABLE (P.O. BOX OR PRIVATE MAIL BOX) CITY STATE ZIP CODE
DATE OF BIRTH SEX
Male Female Nonbinary
HAIR COLOR EYE COLOR HEIGHT WEIGHT
CALIFORNIA DRIVER LICENSE/IDENTIFICATION CARD NUMBER EX PIR ATION DATE SOCIAL SECURITY NUMBER
Have you ever been known by or used any name other than the name appearing on this questionnaire? ....................................
Yes No
IF YES, LIST NAME(S)
SECTION 3 — ADDITIONAL BACKGROUND INFORMATION
1. Have you previously been or are you now licensed or have you ever applied in this state as a vehicle salesperson, representative,
distributor, dealer, dismantler, manufacturer, remanufacturer, transporter, verier, lessor‑retailer ,driving school owner, operator,
instructor, trac violator school owner, operator or instructor, or all‑terrain vehicle safety training organization or instructor? ....
Yes No
IF YES, LIST LICENSE NUMBER
2. Have you ever had a business, occupational license, or application issued by the State of California, Department of Motor
Vehicles, or by another state, which was refused, revoked, suspended or subject to other disciplinary action? .........................
Yes No
IF YES, LIST TYPE OF LICENSE, LICENSE NUMBER, ACTION BY DEPARTMENT, DATE OF ACTION, AND STATE LICENSE WAS ISSUED
3. Have you ever had a civil judgment rendered against you, or as a sole owner, partner, managerial employee, public administrator,
ocer, director, stockholder, or LLP/LLC managing member? ......................................................................................................
Yes No
If yes, was it a result of a state issued licensed activity? ...............................................................................................................
Yes No
IF YES, STATE THE AMOUNT AND WHETHER PAID OR UNPAID
IF YES, DESCRIBE TYPE OF LICENSE, LIST LICENSE NUMBER, STATE LICENSE WAS ISSUED, NAME AND LOCATION OF COURT OF JURISDICTION
4. Have you as a sole owner, partner, managerial employee, ocer, director, stockholder, or LLP/LLC managing member sought
relief from creditors due to nancial hardship in either state or federal court? ..............................................................................
Yes No
IF YES, DESCRIBE TYPE OF LICENSE, LIST LICENSE NUMBER, STATE LICENSE WAS ISSUED, GIVE DATE BANKRUPTCY FILED, NAME AND LOCATION OF COURT OF
JURISDICTION
5. Do you currently have any criminal charges pending against you in any jurisdiction? ..................................................................
Yes No
IF YES, LIST THE STATE, COURT, CASE NUMBER, AND NATURE OF THE CHARGES
*11OL16S*