LETTERHEAD ASSISTANT COMMISSIONER 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, address, date of birth, and telephone number. Ensure all details are accurate and legible.
3. In the 'DESCRIPTION OF VEHICLE' section, provide the manufacturer, model, year, and VIN of your vehicle. This information is crucial for processing your application.
4. Indicate your employment status by selecting one of the options: full-time, part-time, or not employed. If employed, include the name and address of your employer.
5. List all forms of annual household income for each member in exact dollar amounts. Be thorough and ensure no sections are left blank.
6. Detail any other motorized vehicles owned by you or household members. If none exist, simply write 'N/A'.
7. Provide a detailed explanation of the financial hardship caused by OBD repair costs. Use additional sheets if necessary.
8. Finally, review all entries for accuracy before signing and dating the application at the bottom.

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