STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REQUEST FOR OWNER'S RESPONSIBILITY
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.
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.
WEIGHT LOADING
MECHANICAL REGISTRATION
OTHER SPECIAL CONDITION
COMPANY NAME
COMPANY MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE)
PERSON RESPONSIBLE
BUS. PHONE (INCLUDE AREA CODE)
TITLE JOB POSITION
SIGNATURE OF PERSON RESPONSIBLE DATE
Use Previous Editions until depleted
Chp279_0419.pdf
YES NO YES NO
YES NO YES NO
STATE OF CALIFORNIA
DEPARTMENT OF CALIFORNIA HIGHWAY PATROL
REQUEST FOR OWNER'S RESPONSIBILITY
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.
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.
WEIGHT LOADING
MECHANICAL REGISTRATION
OTHER SPECIAL CONDITION
COMPANY NAME
COMPANY MAILING ADDRESS (INCLUDE CITY, STATE AND ZIP CODE)
PERSON RESPONSIBLE
BUS. PHONE (INCLUDE AREA CODE)
TITLE JOB POSITION
SIGNATURE OF PERSON RESPONSIBLE DATE
Use Previous Editions until depleted
Chp279_0419.pdf
YES NO YES NO
YES NO YES NO
