(A) The legal name of the applicant. An individual must apply using their full legal name: (Last Name) (First Name) (Middle Name) and/or (Suffix) and provide information from a government issued photo identification including issuing authority, document title, and number. A business entity must apply using the business' legal name.

(B) If the business is to be carried out under a fictitious name (i.e., the applicant intends to operate under a name other than their legal name), the fictitious name shall be provided.

(C) Form of business organization (sole proprietorship (individual), partnership, limited partnership, corporation, or limited liability company (LLC)).

(D) Federal employer identification number (FEIN), if the applicant is a partnership, or the applicant's Social Security Number, or individual taxpayer identification number (ITIN) for all other applicants. If the applicant is a corporation or LLC, the applicant shall submit the Social Security Numbers of its controlling individuals.

(E) If the applicant is a business entity, the full legal name, title, business address, telephone number, and information from a government issued photo identification including issuing authority, document title, and number for each controlling individual.

(F) Physical address of the location operated by the applicant (“location”).

(G) Applicant's mailing address, if different than the physical address (“address of record”).

(H) Applicant's telephone number,

(I) Applicant's email address.

(J) The applicant's retail seller's permit number, if a permit is required under the Sales and Use Tax Law (Part 1 commencing with Section 6001) of Division 2 of the Revenue and Taxation Code.

(K) Whether the applicant intends to perform auto body repair work and possesses the applicable licenses or permits set forth in Section 9889.52 of the Code.

(L) A designation of the services performed by the business.

(M) Whether the business will be engaged in mobile automotive repairs. If the applicant answers affirmatively, they shall provide the vehicle license plate number for the vehicle used to perform mobile automotive repairs in accordance with California Code of Regulations, Title 16, Article 6.1 (commencing with section 3351.7.1).

(N) Whether the business is in an area that, pursuant to local zoning ordinances, permits the operation of a facility for the repair of motor vehicles.

(O) Whether the applicant, or any controlling individual of the business, or any other person(s) employed at the business possesses any applicable nationally recognized and industry-accepted educational certifications as defined in section 3303 and/or any Bureau-approved educational certifications as provided in section 3395.6. If the applicant answers affirmatively, the applicant shall identify the individual by name who possesses the certification, the title of the certification, the name of the certification provider and the date of issuance of the certification(s).

(P) Whether the applicant or any controlling individual of the business has ever been convicted of any crime or offense for which a license may be denied pursuant to Section 480 of the Code.

(Q) Applicants and/or controlling individuals of the business are not required to disclose convictions under California Health and Safety Code Sections 11357(b), (c), (d), (e), or Section 11360(b) which are two years or older.

(R) Whether, within the preceding seven years from the date of application, the applicant or any controlling individual of the business has had a license, registration, or certification that was formally disciplined by a licensing board in or outside of California, including the Bureau, or any board (as defined in Section 22 of the Code) in the Department of Consumer Affairs. “Discipline” for purposes of this section includes reproval, suspension, revocation, probation or any other form of restriction placed on the license, registration, or certification.

(S) Whether, within the preceding seven years from the date of application, the applicant or any controlling individual has previously been denied a registration or received a citation for committing acts prohibited by Section 9884.7 of the Code from a licensing board in or outside of California, including the Bureau, or any board (as defined in Section 22 of the Code) in the Department of Consumer Affairs.

(T) If the applicant or any controlling individual answers affirmatively to any of the items in subdivision (a)(2)(P), (a)(2)(R), or (a)(2)(S), the applicant shall provide a written statement explaining details regarding any criminal conviction, disciplinary action, or citation. For criminal convictions, the statement shall include: the date and place of arrest, name of court, court case number, code Section violated, brief explanation of the offense, and the sentence imposed. For discipline, the written statement shall include the type of license, effective date and type of disciplinary action, name and location of licensing board, and brief explanation of violations found by the licensing board. For citations, the written statement shall include the type of license, effective date, name and location of licensing board, and a brief explanation of violations cited by the licensing board.

(A) Whether the applicant is serving, or has previously served, in the United States Armed Forces.

(B) Whether the applicant is an honorably discharged member of the United States Armed Forces. If the applicant affirmatively states they meet this criterion, they shall provide the following documentation with the application to receive expedited review: a certificate of release or discharge from active duty (DD-214) or other documentary evidence showing date and type of discharge.

(C) Whether the applicant is married to or in a domestic partnership or other legal union with an active duty member of the United States Armed Forces assigned to a duty station in California under official active duty military orders. If the applicant affirmatively states they meet this criterion, they shall provide the following documentation along with the application to receive expedited review: certificate of marriage; certificate of domestic partnership; a copy of the applicant's spouse's/partner's military orders reflecting assignment to a California duty station; and proof of currently being licensed as an automotive repair dealer in another state, or U.S. territory or district. Proof, for the purposes of this subdivision, shall mean the information required by subdivision (g)(3) of this section.

(D) Whether the applicant was admitted to the United States as a refugee, has been granted asylum by the Secretary of Homeland Security or the Attorney General of the United States, or has a special immigrant visa (SIV). If the applicant affirmatively states they meet any of these criteria, they shall provide any of the following items of documentation, as applicable, with the application to receive expedited review:

(A) The full legal name of the applicant and any other name(s) the applicant has used or has been known by,

(B) The license type and number issued to the applicant by the original licensing agency/entity,

(C) The name and location of the licensing agency/entity, and,

(D) The issuance and expiration date of the license.