Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(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or stockholder in a firm licensed by the department, and the license was
revoked, suspended or subject to other disciplinary action.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).
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.
