STATE OF CALIFORNIA
STATE OF CALIFORNIA
DEPARTMENT OF CALIFOR NIA HIGHW AY PATROL
DEPARTMENT OF CALIFOR NIA HIGHW AY PATROL
REQUEST FOR OWNER'S RESPONSIBILITY
REQUEST FOR OWNER'S RESPONSIBILITY
CHP 279 (Rev. 9-07) OPI 062
CHP 279 (Rev. 9-07) OPI 062
Completion and presentation of this form is an indication that you
desire the company to be charged under "owner's responsibility" for
certain violations of the California Vehicle Code.
Completion and presentation of this form is an indication that you
desire the company to be charged under "owner's responsibility" for
certain violations of the California Vehicle Code.
The California Highway Patrol does not maintain a centralized
owner's responsibility database. Therefore, it will be necessary to
complete the CHP 279 form in its entirety and place several copies of
the completed form in each of your vehicles that you desire to be
considered under owner's responsibility. Upon contact by CHP
enforcement personnel, your drivers should be instructed to present
the form to the officer. If a citation is to be issued, the officer may
retain a copy of the CHP 279 form and attach it to the citation for
court purposes.
The California Highway Patrol does not maintain a centralized
owner's responsibility database. Therefore, it will be necessary to
complete the CHP 279 form in its entirety and place several copies of
the completed form in each of your vehicles that you desire to be
considered under owner's responsibility. Upon contact by CHP
enforcement personnel, your drivers should be instructed to present
the form to the officer. If a citation is to be issued, the officer may
retain a copy of the CHP 279 form and attach it to the citation for
court purposes.
The CHP 279 should be renewed annually at the beginning of the
calendar year, or immediately, if the responsible person has
terminated employment or moved to another position.
The CHP 279 should be renewed annually at the beginning of the
calendar year, or immediately, if the responsible person has
terminated employment or moved to another position.
WEIGHT
WEIGHT
LOADING
YES
NO
MECHANICAL
YES
YES
NO
YES
REGISTRATION
NO
YES
LOADING
NO
MECHANICAL
NO
YES
YES
NO
REGISTRATION
NO
YES
NO
OTHER SPECIAL CONDITION
OTHER SPECIAL CONDITION
COMPANY NAME
COMPANY NAME
COMPANY MAILING ADDRESS (INCLUDE CITY, ST ATE AND ZIP CODE)
COMPANY MAILING ADDRESS (INCLUDE CITY, ST ATE AND ZIP CODE)
PERSON RESPONSIBLE
PERSON RESPONSIBLE
BUS. PHONE (INCLUDE AREA CODE)
TITLE JOB PO SITION
SIGNATUR E OF PERSON RESPON SIBLE
Use Previous Editions until depleted
BUS. PHONE (INCLUDE AREA CODE)
TITLE JOB PO SITION
DATE
SIGNATUR E OF PERSON RESPON SIBLE
c279_907.frp
Use Previous Editions until depleted
DATE
c279_907.frp