9. Certication:
I certify, under penalty of perjury, under the laws of the State of California, that all the statements made in this application and all the attached
supporting documents pertaining to this application are true and correct.
Signature Date
INFORMATION ON LAMP ADJUSTER LICENSES
There is only one class of Lamp Adjuster license. If you wish to apply for Lamp and Brake Adjuster licenses at the same
time, two applications must be submitted. Brake and Lamp Adjuster licenses may be held independently of each other.
The class is:
Lamp Class A: May test, inspect, adjust, repair, and certify the lighting systems on all vehicles, including
motorcycles.
Licensed Adjusters may conduct inspections that are required for the issuance of Lamp Certicates of Adjustment, and
also certify that corrections have been made when an enforcement document has been issued for lamp system defects.
These licenses are not required to perform general repairs on brake systems.
NOTE: Technicians must pass an exam every four years to remain licensed. The license expiration dates will be
adjusted so that they expire in the month of the technician’s birthday. Therefore, the license you receive during
the adjustment period will be valid from 37 to 48 months.
IF YOUR APPLICATION IS ACCEPTED, you will be contacted by the examination service contractor to schedule your
examination.
You must bring two forms of ID to the examination. One must be a photo ID. Read the Candidate Handbook for
complete instructions.
IMPORTANT
If you have a disability or impairment for which you may need assistance during an examination, please call BAR
Licensing at (855) 735-0462 to request an ocial “Special Accommodation Form.” This form must be completed by a
health care professional and be submitted to BAR Licensing with your application.
Per California Civil Code Section 1798.17 (Information Practice Act), the Director of the Department of Consumer
Aairs is responsible for maintaining the information in this application. This information may be transferred to other
governmental and enforcement agencies. Individuals have the right to review the records maintained on them by the
agencies, unless the records are exempt by Section 1798.40 of the Civil Code.
Disclosure of your Social Security number (SSN)/Individual Tax Identication Number (ITIN) is mandatory. Section 30
of the Business and Professions Code and Public Law 94-445 (42 USCA 405(c)(2)(C) authorizes collection of your
SSN/ITIN. Your SSN/ITIN will be used exclusively for tax enforcement purposes, for purposes of compliance with any
judgment or order for family support in accordance with Family Code section 17520, or for verication of licensure or
examination status by a licensing or examination entity which utilizes a national examination and where licensure is
reciprocal with the requesting state. If you fail to disclose your SSN/ITIN, your application will not be processed AND
you will be reported to the Franchise Tax Board, which may assess a $100 penalty against you.
Examination cheating is in violation of Section 123 of the Business and Professions Code. Examination cheating can
result in application denial, suspension, revocation, or restriction of a license. Once the examination begins no talking or
other communication that may compromise examination security is permitted between applicants. Details are contained
in Section 123 of the Business and Professions Code. A copy of Section 123 is included in the Candidate Handbook of
the California Bureau of Automotive Repair Brake and Lamp Adjusters Licensing Examination as well as in the laws and
regulations booklet published by BAR.
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R-2B (Rev. 10/14)
