{"id":646,"date":"2026-06-03T20:48:09","date_gmt":"2026-06-03T20:48:09","guid":{"rendered":"https:\/\/autoexpresstags.com\/?page_id=646"},"modified":"2026-06-03T23:57:30","modified_gmt":"2026-06-03T23:57:30","slug":"apply-now","status":"publish","type":"page","link":"https:\/\/autoexpresstags.com\/es\/apply-now\/","title":{"rendered":"Apply Now"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"646\" class=\"elementor elementor-646\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1525f4d0 e-flex e-con-boxed e-con e-parent\" data-id=\"1525f4d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ded88d7 elementor-widget elementor-widget-shortcode\" data-id=\"7ded88d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n    <div class=\"eap-application-wrap\">\n        \n                \n        \n        <div class=\"eap-form-header\">\n            <p class=\"eap-small-title\">Express Auto Portal<\/p>\n            <h1>Start Your Application<\/h1>\n            <p>Tell us about your vehicle first. For registration renewals, we will review your information and confirm DMV fees before requesting payment.<\/p>\n        <\/div>\n\n        <div class=\"eap-progress\">\n            <div class=\"eap-progress-step active\" data-step=\"1\">\n                <span>1<\/span>\n                <p>Service<\/p>\n            <\/div>\n            <div class=\"eap-progress-step\" data-step=\"2\">\n                <span>2<\/span>\n                <p>Applicant<\/p>\n            <\/div>\n            <div class=\"eap-progress-step\" data-step=\"3\">\n                <span>3<\/span>\n                <p>Vehicle<\/p>\n            <\/div>\n            <div class=\"eap-progress-step\" data-step=\"4\">\n                <span>4<\/span>\n                <p>Details<\/p>\n            <\/div>\n            <div class=\"eap-progress-step\" data-step=\"5\">\n                <span>5<\/span>\n                <p>Documents<\/p>\n            <\/div>\n            <div class=\"eap-progress-step\" data-step=\"6\">\n                <span>6<\/span>\n                <p>Review<\/p>\n            <\/div>\n        <\/div>\n\n        <form method=\"post\" enctype=\"multipart\/form-data\" class=\"eap-application-form\" id=\"eapApplicationForm\">\n\n            <input type=\"hidden\" id=\"eap_application_nonce\" name=\"eap_application_nonce\" value=\"9511fee696\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/646\" \/>\n            <!-- Step 1 -->\n            <div class=\"eap-form-step active\" data-step=\"1\">\n\n                <div class=\"eap-card\">\n                    <h2>Select Service<\/h2>\n                    <p>Choose the service you want to apply for.<\/p>\n\n                    <div class=\"eap-grid\">\n\n                        <div class=\"eap-field\">\n                            <label>Parent Service<\/label>\n                            <select name=\"parent_service\" id=\"eapParentService\" required>\n                                <option value=\"\">Select Parent Service<\/option>\n\n                                                                    <option \n                                        value=\"dmv-registration-services\"\n                                                                            >\n                                        DMV Registration Services                                    <\/option>\n                                                                    <option \n                                        value=\"title-services\"\n                                                                            >\n                                        Title Services                                    <\/option>\n                                                                    <option \n                                        value=\"dealer-services\"\n                                                                            >\n                                        Dealer Services                                    <\/option>\n                                                                    <option \n                                        value=\"commercial-fleet-services\"\n                                                                            >\n                                        Commercial Fleet Services                                    <\/option>\n                                                                    <option \n                                        value=\"vin-verification-services\"\n                                                                            >\n                                        VIN &amp; Verification Services                                    <\/option>\n                                                                    <option \n                                        value=\"insurance-assistance\"\n                                                                            >\n                                        Insurance Assistance                                    <\/option>\n                                \n                            <\/select>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Selected Service<\/label>\n                            <select name=\"selected_service\" id=\"eapSelectedService\" required>\n                                <option value=\"\">Select Service<\/option>\n\n                                \n                            <\/select>\n                        <\/div>\n\n                    <\/div>\n\n                    \n                <\/div>\n\n            <\/div>\n\n            <!-- Step 2 -->\n            <div class=\"eap-form-step\" data-step=\"2\">\n\n                <div class=\"eap-card\">\n                    <h2>Applicant Information<\/h2>\n                    <p>Enter your basic contact information.<\/p>\n\n                    <div class=\"eap-grid\">\n\n                        <div class=\"eap-field\">\n                            <label>First Name<\/label>\n                            <input type=\"text\" name=\"first_name\" value=\"\" required>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Last Name<\/label>\n                            <input type=\"text\" name=\"last_name\" value=\"\" required>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Email<\/label>\n                            <input \n                                type=\"email\" \n                                name=\"email\" \n                                value=\"\" \n                                required\n                            >\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Phone<\/label>\n                            <input \n                                type=\"text\" \n                                name=\"phone\" \n                                value=\"\"\n                                required\n                            >\n                        <\/div>\n\n                        <div class=\"eap-field eap-field-full\">\n                            <label>Residential Address<\/label>\n                            <input type=\"text\" name=\"address\" value=\"\" required>\n                        <\/div>\n\n                        <div class=\"eap-field eap-field-full\">\n                            <label>Mailing Address<\/label>\n                            <input type=\"text\" name=\"mailing_address\" value=\"\">\n                        <\/div>\n\n                    <\/div>\n                <\/div>\n\n            <\/div>\n\n            <!-- Step 3 -->\n            <div class=\"eap-form-step\" data-step=\"3\">\n\n                <div class=\"eap-card\">\n                    <h2>Vehicle Information<\/h2>\n                    <p>Enter details about the vehicle connected to this request.<\/p>\n\n                    <div class=\"eap-grid\">\n\n                        <div class=\"eap-field\">\n                            <label>Vehicle Year<\/label>\n                            <select name=\"vehicle_year\" id=\"eapVehicleYear\" required><option value=\"\">Select Year<\/option><option value=\"2027\">2027<\/option><option value=\"2026\">2026<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><option value=\"1925\">1925<\/option><option value=\"1924\">1924<\/option><option value=\"1923\">1923<\/option><option value=\"1922\">1922<\/option><option value=\"1921\">1921<\/option><option value=\"1920\">1920<\/option><option value=\"1919\">1919<\/option><option value=\"1918\">1918<\/option><option value=\"1917\">1917<\/option><option value=\"1916\">1916<\/option><option value=\"1915\">1915<\/option><option value=\"1914\">1914<\/option><option value=\"1913\">1913<\/option><option value=\"1912\">1912<\/option><option value=\"1911\">1911<\/option><option value=\"1910\">1910<\/option><option value=\"1909\">1909<\/option><option value=\"1908\">1908<\/option><option value=\"1907\">1907<\/option><option value=\"1906\">1906<\/option><option value=\"1905\">1905<\/option><option value=\"1904\">1904<\/option><option value=\"1903\">1903<\/option><option value=\"1902\">1902<\/option><option value=\"1901\">1901<\/option><option value=\"1900\">1900<\/option><\/select>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Vehicle Make<\/label>\n                            <select name=\"vehicle_make\" id=\"eapVehicleMake\" required><option value=\"\">Select Make<\/option><option value=\"Acura\">Acura<\/option><option value=\"Alfa Romeo\">Alfa Romeo<\/option><option value=\"Aston Martin\">Aston Martin<\/option><option value=\"Audi\">Audi<\/option><option value=\"Bentley\">Bentley<\/option><option value=\"BMW\">BMW<\/option><option value=\"Buick\">Buick<\/option><option value=\"Cadillac\">Cadillac<\/option><option value=\"Chevrolet\">Chevrolet<\/option><option value=\"Chrysler\">Chrysler<\/option><option value=\"Daewoo\">Daewoo<\/option><option value=\"Daihatsu\">Daihatsu<\/option><option value=\"Dodge\">Dodge<\/option><option value=\"Eagle\">Eagle<\/option><option value=\"Ferrari\">Ferrari<\/option><option value=\"Fiat\">Fiat<\/option><option value=\"Ford\">Ford<\/option><option value=\"Freightliner\">Freightliner<\/option><option value=\"Genesis\">Genesis<\/option><option value=\"Geo\">Geo<\/option><option value=\"GMC\">GMC<\/option><option value=\"Harley-Davidson\">Harley-Davidson<\/option><option value=\"Honda\">Honda<\/option><option value=\"Hummer\">Hummer<\/option><option value=\"Hyundai\">Hyundai<\/option><option value=\"Infiniti\">Infiniti<\/option><option value=\"International\">International<\/option><option value=\"Isuzu\">Isuzu<\/option><option value=\"Jaguar\">Jaguar<\/option><option value=\"Jeep\">Jeep<\/option><option value=\"Kawasaki\">Kawasaki<\/option><option value=\"Kenworth\">Kenworth<\/option><option value=\"Kia\">Kia<\/option><option value=\"Lamborghini\">Lamborghini<\/option><option value=\"Land Rover\">Land Rover<\/option><option value=\"Lexus\">Lexus<\/option><option value=\"Lincoln\">Lincoln<\/option><option value=\"Lotus\">Lotus<\/option><option value=\"Lucid\">Lucid<\/option><option value=\"Mack\">Mack<\/option><option value=\"Maserati\">Maserati<\/option><option value=\"Mazda\">Mazda<\/option><option value=\"McLaren\">McLaren<\/option><option value=\"Mercedes-Benz\">Mercedes-Benz<\/option><option value=\"Mercury\">Mercury<\/option><option value=\"Mini\">Mini<\/option><option value=\"Mitsubishi\">Mitsubishi<\/option><option value=\"Nissan\">Nissan<\/option><option value=\"Oldsmobile\">Oldsmobile<\/option><option value=\"Peterbilt\">Peterbilt<\/option><option value=\"Peugeot\">Peugeot<\/option><option value=\"Plymouth\">Plymouth<\/option><option value=\"Polestar\">Polestar<\/option><option value=\"Pontiac\">Pontiac<\/option><option value=\"Porsche\">Porsche<\/option><option value=\"Ram\">Ram<\/option><option value=\"Rivian\">Rivian<\/option><option value=\"Rolls-Royce\">Rolls-Royce<\/option><option value=\"Saab\">Saab<\/option><option value=\"Saturn\">Saturn<\/option><option value=\"Scion\">Scion<\/option><option value=\"Smart\">Smart<\/option><option value=\"Subaru\">Subaru<\/option><option value=\"Suzuki\">Suzuki<\/option><option value=\"Tesla\">Tesla<\/option><option value=\"Toyota\">Toyota<\/option><option value=\"Triumph\">Triumph<\/option><option value=\"Volkswagen\">Volkswagen<\/option><option value=\"Volvo\">Volvo<\/option><option value=\"Yamaha\">Yamaha<\/option><option value=\"__other\">Other \/ not listed<\/option><\/select><input type=\"text\" name=\"vehicle_make_other\" id=\"eapVehicleMakeOther\" placeholder=\"Enter your make\" aria-label=\"Other vehicle make\" maxlength=\"100\" hidden disabled>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Vehicle Model<\/label>\n                            <select name=\"vehicle_model\" id=\"eapVehicleModel\" required><option value=\"\">Select Year and Make First<\/option><option value=\"__other\">Other \/ not listed<\/option><\/select><input type=\"text\" name=\"vehicle_model_other\" id=\"eapVehicleModelOther\" placeholder=\"Enter your model\" aria-label=\"Other vehicle model\" maxlength=\"100\" hidden disabled><p id=\"eapVehicleModelStatus\" role=\"status\" aria-live=\"polite\">Choose a year and make to see available models.<\/p>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label for=\"eapVin\">Vehicle Identification Number (VIN)<\/label>\n                            <input id=\"eapVin\" type=\"text\" name=\"vin_number\" maxlength=\"30\" autocomplete=\"off\" autocapitalize=\"characters\" spellcheck=\"false\" required>\n                            <p>Enter the full VIN from your registration card or vehicle.<\/p>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label for=\"eapPlate\">License Plate Number<\/label>\n                            <input id=\"eapPlate\" type=\"text\" name=\"license_plate_number\" maxlength=\"15\" autocomplete=\"off\" autocapitalize=\"characters\" spellcheck=\"false\">\n                            <p>Required for registration renewals and replacement stickers.<\/p>\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Registration Number<\/label>\n                            <input type=\"text\" name=\"registration_number\">\n                        <\/div>\n\n                    <\/div>\n                <\/div>\n\n            <\/div>\n\n            <!-- Step 4 -->\n            <div class=\"eap-form-step\" data-step=\"4\">\n\n                <div class=\"eap-card\">\n                    <h2>Service Details<\/h2>\n                    <p>These fields change based on the selected service.<\/p>\n\n                    <div class=\"eap-conditional-group\" data-service=\"vehicle-registration-renewals\">\n                        <h3>Vehicle Registration Renewal Details<\/h3>\n                        <p>Renewal pricing: DMV fees + $49 service fee + $7 BPA fee + your delivery choice. DMV fees will be confirmed after review; they are not included in the service fee.<\/p>\n                        <div class=\"eap-field eap-field-full\">\n                            <label for=\"eapRenewalDelivery\">Delivery Preference<\/label>\n                            <select name=\"renewal_delivery_method\" id=\"eapRenewalDelivery\">\n                                <option value=\"office_pickup\">Free pickup \u2014 $0<\/option>\n                                <option value=\"standard_shipping\">Standard shipping \u2014 $6<\/option>\n                                <option value=\"overnight_shipping\">Overnight shipping \u2014 $35<\/option>\n                            <\/select>\n                            <p>Shipping begins after your renewal is processed. Overnight delivery does not shorten DMV processing time. For shipping, enter your full mailing address in the Applicant step.<\/p>\n                        <\/div>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Current Registration Expiration Date<\/label>\n                                <input type=\"date\" name=\"renewal_expiration_date\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Is Smog Check Required?<\/label>\n                                <select name=\"smog_required\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"yes\">Yes<\/option>\n                                    <option value=\"no\">No<\/option>\n                                    <option value=\"not-sure\">Not Sure<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"lost-registration-replacement\">\n                        <h3>Lost Registration Replacement Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Reason for Replacement<\/label>\n                                <select name=\"lost_registration_reason\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"lost\">Lost<\/option>\n                                    <option value=\"stolen\">Stolen<\/option>\n                                    <option value=\"damaged\">Damaged<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"license-plate-replacement\">\n                        <h3>License Plate Replacement Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Plate Type<\/label>\n                                <input type=\"text\" name=\"plate_type\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Replacement Reason<\/label>\n                                <select name=\"plate_replacement_reason\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"lost\">Lost<\/option>\n                                    <option value=\"stolen\">Stolen<\/option>\n                                    <option value=\"damaged\">Damaged<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"sticker-replacement\">\n                        <h3>Sticker Replacement Details<\/h3>\n                        <p>For registration that is already paid. We will check DMV fees and show your itemized total before payment: $49 service fee, $7 BPA fee, DMV fees, and your selected delivery.<\/p>\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\"><label for=\"eapStickerExpiration\">Registration Expiration Date<\/label><input id=\"eapStickerExpiration\" type=\"date\" name=\"sticker_expiration_date\"><\/div>\n                            <div class=\"eap-field\"><label for=\"eapStickerDelivery\">Pickup or Shipping<\/label><select id=\"eapStickerDelivery\" name=\"sticker_delivery_method\"><option value=\"office_pickup\">Free Pickup<\/option><option value=\"standard_shipping\">Standard Shipping \u2014 $6<\/option><option value=\"overnight_shipping\">Overnight Shipping \u2014 $35<\/option><\/select><p>For shipping, enter your full mailing address in the Applicant step. Shipping starts after processing.<\/p><\/div>\n                        <\/div>\n                        <p><label><input type=\"checkbox\" id=\"eapStickerPaid\" name=\"sticker_registration_paid\" value=\"yes\"> My registration is already paid; I only need a replacement sticker.<\/label><\/p>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Sticker Year<\/label>\n                                <input type=\"text\" name=\"sticker_year\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Replacement Reason<\/label>\n                                <select name=\"sticker_replacement_reason\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"lost\">Lost<\/option>\n                                    <option value=\"stolen\">Stolen<\/option>\n                                    <option value=\"damaged\">Damaged<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"planned-non-operation-filings\">\n                        <h3>Planned Non-Operation Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Current Registration Expiration Date<\/label>\n                                <input type=\"date\" name=\"pno_expiration_date\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Will the vehicle be driven?<\/label>\n                                <select name=\"vehicle_will_be_driven\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"no\">No<\/option>\n                                    <option value=\"yes\">Yes<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"title-transfers\">\n                        <h3>Title Transfer Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Buyer Name<\/label>\n                                <input type=\"text\" name=\"buyer_name\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Seller Name<\/label>\n                                <input type=\"text\" name=\"seller_name\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Sale Date<\/label>\n                                <input type=\"date\" name=\"sale_date\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Purchase Price<\/label>\n                                <input type=\"text\" name=\"purchase_price\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"duplicate-title-processing\">\n                        <h3>Duplicate Title Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Reason for Duplicate Title<\/label>\n                                <select name=\"duplicate_title_reason\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"lost\">Lost<\/option>\n                                    <option value=\"stolen\">Stolen<\/option>\n                                    <option value=\"damaged\">Damaged<\/option>\n                                <\/select>\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Registered Owner Name<\/label>\n                                <input type=\"text\" name=\"registered_owner_name\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"out-of-state-title-registration-transfers\">\n                        <h3>Out-of-State Transfer Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Previous State<\/label>\n                                <input type=\"text\" name=\"previous_state\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Out-of-State Plate Number<\/label>\n                                <input type=\"text\" name=\"out_of_state_plate\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Date Vehicle Entered California<\/label>\n                                <input type=\"date\" name=\"date_entered_ca\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-conditional-group\" data-service=\"lien-sale-documentation-assistance\">\n                        <h3>Lien Sale Details<\/h3>\n\n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Lienholder Name<\/label>\n                                <input type=\"text\" name=\"lienholder_name\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Vehicle Storage Date<\/label>\n                                <input type=\"date\" name=\"vehicle_storage_date\">\n                            <\/div>\n\n                            <div class=\"eap-field\">\n                                <label>Estimated Vehicle Value<\/label>\n                                <input type=\"text\" name=\"vehicle_value\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Dealer Registration Assistance -->\n                    <div class=\"eap-conditional-group\" data-service=\"dealer-registration-assistance\">\n                        <h3>Dealer Registration Assistance Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Dealership \/ Business Name<\/label>\n                                <input type=\"text\" name=\"dealership_name\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Dealer License Number<\/label>\n                                <input type=\"text\" name=\"dealer_license_number\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Contact Person<\/label>\n                                <input type=\"text\" name=\"dealership_contact_person\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Dealer Contact Phone<\/label>\n                                <input type=\"text\" name=\"dealership_phone\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Buyer \/ Customer Name<\/label>\n                                <input type=\"text\" name=\"buyer_customer_name\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Sale Date<\/label>\n                                <input type=\"date\" name=\"dealer_sale_date\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Business to Business Dealer Support -->\n                    <div class=\"eap-conditional-group\" data-service=\"business-to-business-dealer-support\">\n                        <h3>Business to Business Dealer Support Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Business Name<\/label>\n                                <input type=\"text\" name=\"b2b_business_name\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Business Contact Person<\/label>\n                                <input type=\"text\" name=\"b2b_contact_person\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Business Email<\/label>\n                                <input type=\"email\" name=\"b2b_email\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Business Phone<\/label>\n                                <input type=\"text\" name=\"b2b_phone\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Estimated Monthly Volume<\/label>\n                                <input type=\"text\" name=\"monthly_volume\">\n                            <\/div>\n                    \n                            <div class=\"eap-field eap-field-full\">\n                                <label>Support Needed<\/label>\n                                <textarea name=\"b2b_support_needed\" rows=\"3\"><\/textarea>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Same Day DMV Processing -->\n                    <div class=\"eap-conditional-group\" data-service=\"same-day-dmv-processing\">\n                        <h3>Same Day DMV Processing Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Requested Processing Date<\/label>\n                                <input type=\"date\" name=\"requested_processing_date\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Preferred Contact Method<\/label>\n                                <select name=\"preferred_contact_method\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"Phone\">Phone<\/option>\n                                    <option value=\"Email\">Email<\/option>\n                                    <option value=\"Text Message\">Text Message<\/option>\n                                <\/select>\n                            <\/div>\n                    \n                            <div class=\"eap-field eap-field-full\">\n                                <label>Reason for Urgency<\/label>\n                                <textarea name=\"urgency_reason\" rows=\"3\"><\/textarea>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Commercial Vehicle Registration -->\n                    <div class=\"eap-conditional-group\" data-service=\"commercial-vehicle-registration\">\n                        <h3>Commercial Vehicle Registration Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Business Name<\/label>\n                                <input type=\"text\" name=\"commercial_business_name\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>DOT \/ MC Number<\/label>\n                                <input type=\"text\" name=\"dot_mc_number\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Vehicle Use Type<\/label>\n                                <input type=\"text\" name=\"vehicle_use_type\" placeholder=\"Example: delivery, transport, service vehicle\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Gross Vehicle Weight<\/label>\n                                <input type=\"text\" name=\"gross_vehicle_weight\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Commercial Plate Type<\/label>\n                                <input type=\"text\" name=\"commercial_plate_type\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Fleet Registration Services -->\n                    <div class=\"eap-conditional-group\" data-service=\"fleet-registration-services\">\n                        <h3>Fleet Registration Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Fleet Business Name<\/label>\n                                <input type=\"text\" name=\"fleet_business_name\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Number of Vehicles<\/label>\n                                <input type=\"number\" name=\"number_of_vehicles\" min=\"1\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Fleet Contact Person<\/label>\n                                <input type=\"text\" name=\"fleet_contact_person\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Fleet Registration Type<\/label>\n                                <select name=\"fleet_registration_type\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"New Fleet Registration\">New Fleet Registration<\/option>\n                                    <option value=\"Fleet Renewal\">Fleet Renewal<\/option>\n                                    <option value=\"Add Vehicle to Fleet\">Add Vehicle to Fleet<\/option>\n                                    <option value=\"Remove Vehicle from Fleet\">Remove Vehicle from Fleet<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- VIN Verification Coordination -->\n                    <div class=\"eap-conditional-group\" data-service=\"vin-verification-coordination\">\n                        <h3>VIN Verification Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Verification Location<\/label>\n                                <select name=\"vin_verification_location\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"Customer Location\">Customer Location<\/option>\n                                    <option value=\"Business Location\">Business Location<\/option>\n                                    <option value=\"DMV \/ Third Party Location\">DMV \/ Third Party Location<\/option>\n                                <\/select>\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Preferred Verification Date<\/label>\n                                <input type=\"date\" name=\"preferred_verification_date\">\n                            <\/div>\n                    \n                            <div class=\"eap-field eap-field-full\">\n                                <label>Vehicle Location Address<\/label>\n                                <textarea name=\"vehicle_location_address\" rows=\"3\"><\/textarea>\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Is the Vehicle Accessible?<\/label>\n                                <select name=\"vehicle_accessible\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"Yes\">Yes<\/option>\n                                    <option value=\"No\">No<\/option>\n                                    <option value=\"Not Sure\">Not Sure<\/option>\n                                <\/select>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Proof of Liability Insurance Assistance -->\n                    <div class=\"eap-conditional-group\" data-service=\"proof-of-liability-insurance-assistance\">\n                        <h3>Proof of Liability Insurance Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Current Insurance Provider<\/label>\n                                <input type=\"text\" name=\"insurance_provider\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Policy Number<\/label>\n                                <input type=\"text\" name=\"policy_number\">\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Effective Date<\/label>\n                                <input type=\"date\" name=\"insurance_effective_date\">\n                            <\/div>\n                    \n                            <div class=\"eap-field eap-field-full\">\n                                <label>Coverage \/ Insurance Help Needed<\/label>\n                                <textarea name=\"coverage_needed\" rows=\"3\"><\/textarea>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Immediate Insurance Support -->\n                    <div class=\"eap-conditional-group\" data-service=\"immediate-insurance-support\">\n                        <h3>Immediate Insurance Support Details<\/h3>\n                    \n                        <div class=\"eap-grid\">\n                            <div class=\"eap-field\">\n                                <label>Insurance Need Type<\/label>\n                                <select name=\"insurance_need_type\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"New Insurance\">New Insurance<\/option>\n                                    <option value=\"Proof of Insurance\">Proof of Insurance<\/option>\n                                    <option value=\"Policy Update\">Policy Update<\/option>\n                                    <option value=\"Not Sure\">Not Sure<\/option>\n                                <\/select>\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Current Insurance Status<\/label>\n                                <select name=\"current_insurance_status\">\n                                    <option value=\"\">Select<\/option>\n                                    <option value=\"Currently Insured\">Currently Insured<\/option>\n                                    <option value=\"Not Insured\">Not Insured<\/option>\n                                    <option value=\"Policy Expired\">Policy Expired<\/option>\n                                    <option value=\"Not Sure\">Not Sure<\/option>\n                                <\/select>\n                            <\/div>\n                    \n                            <div class=\"eap-field\">\n                                <label>Preferred Contact Time<\/label>\n                                <input type=\"text\" name=\"preferred_contact_time\" placeholder=\"Example: Morning, Afternoon, Evening\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"eap-no-service-message\">\n                        <p>Please select a service in Step 1 to view service-specific fields.<\/p>\n                    <\/div>\n\n                <\/div>\n\n            <\/div>\n\n            <!-- Step 5 -->\n            <div class=\"eap-form-step\" data-step=\"5\">\n\n                <div class=\"eap-card\">\n                    <h2>Upload Documents<\/h2>\n                    <p>Upload supporting documents for your application.<\/p>\n\n                    <div class=\"eap-grid\">\n\n                        <div class=\"eap-field\">\n                            <label>Government ID<\/label>\n                            <input type=\"file\" name=\"government_id\" accept=\".jpg,.jpeg,.png,.pdf\">\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Registration Card or Renewal Notice (optional)<\/label>\n                            <input type=\"file\" name=\"registration_card\" accept=\".jpg,.jpeg,.png,.pdf\">\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Vehicle Title<\/label>\n                            <input type=\"file\" name=\"vehicle_title\" accept=\".jpg,.jpeg,.png,.pdf\">\n                        <\/div>\n\n                        <div class=\"eap-field\">\n                            <label>Proof of Insurance<\/label>\n                            <input type=\"file\" name=\"proof_of_insurance\" accept=\".jpg,.jpeg,.png,.pdf\">\n                        <\/div>\n\n                        <div class=\"eap-field eap-field-full\">\n                            <label>Additional Documents<\/label>\n                            <input type=\"file\" name=\"additional_documents[]\" accept=\".jpg,.jpeg,.png,.pdf\" multiple>\n                        <\/div>\n\n                    <\/div>\n                <\/div>\n\n            <\/div>\n\n            <!-- Step 6 -->\n            <div class=\"eap-form-step\" data-step=\"6\">\n\n                <div class=\"eap-card\">\n                    <h2>Review & Submit<\/h2>\n                    <p>Please confirm the information before submitting your application.<\/p>\n\n                    <div class=\"eap-field eap-field-full\">\n                        <label>Additional Notes<\/label>\n                        <textarea name=\"additional_notes\" rows=\"5\"><\/textarea>\n                    <\/div>\n\n                    <div class=\"eap-consent-box\">\n                        <label>\n                            <input type=\"checkbox\" name=\"consent_accuracy\" value=\"1\" required>\n                            I confirm that the information provided is accurate.\n                        <\/label>\n\n                        <label>\n                            <input type=\"checkbox\" name=\"consent_terms\" value=\"1\" required>\n                            I agree to the Terms and Privacy Policy.\n                        <\/label>\n\n                        <label>\n                            <input type=\"checkbox\" name=\"consent_documents\" value=\"1\" required>\n                            I understand that additional documents may be required.\n                        <\/label>\n                    <\/div>\n\n                    <div class=\"eap-submit-note\">\n                        <p>After submission, your application will be saved and a tracking number will be generated. For renewals and replacement stickers, DMV fees must be verified before payment. Eligible replacement sticker requests continue to an itemized checkout; requests that need review go to our team. Submitting this form does not complete your registration renewal.<\/p>\n                    <\/div>\n                <\/div>\n\n            <\/div>\n\n            <div class=\"eap-form-navigation\">\n                <button type=\"button\" class=\"eap-btn eap-btn-secondary\" id=\"eapPrevStep\" style=\"display:none;\">Previous<\/button>\n                <button type=\"button\" class=\"eap-btn eap-btn-primary\" id=\"eapNextStep\">Next<\/button>\n                <button type=\"submit\" class=\"eap-btn eap-btn-primary\" id=\"eapSubmitBtn\" style=\"display:none;\">Submit Application<\/button>\n            <\/div>\n\n        <\/form>\n\n    <\/div>\n\n    <script>\n        window.eapServices = {\"dmv-registration-services\":{\"label\":\"DMV Registration Services\",\"children\":{\"vehicle-registration-renewals\":\"Vehicle Registration Renewals\",\"lost-registration-replacement\":\"Lost Registration Replacement\",\"license-plate-replacement\":\"License Plate Replacement\",\"sticker-replacement\":\"Sticker Replacement\",\"planned-non-operation-filings\":\"Planned Non Operation Filings\"}},\"title-services\":{\"label\":\"Title Services\",\"children\":{\"title-transfers\":\"Title Transfers\",\"duplicate-title-processing\":\"Duplicate Title Processing\",\"out-of-state-title-registration-transfers\":\"Out of State Title & Registration Transfers\",\"lien-sale-documentation-assistance\":\"Lien Sale Documentation Assistance\"}},\"dealer-services\":{\"label\":\"Dealer Services\",\"children\":{\"dealer-registration-assistance\":\"Dealer Registration Assistance\",\"business-to-business-dealer-support\":\"Business to Business Dealer Support\",\"same-day-dmv-processing\":\"Same Day DMV Processing\"}},\"commercial-fleet-services\":{\"label\":\"Commercial Fleet Services\",\"children\":{\"commercial-vehicle-registration\":\"Commercial Vehicle Registration\",\"fleet-registration-services\":\"Fleet Registration Services\"}},\"vin-verification-services\":{\"label\":\"VIN & Verification Services\",\"children\":{\"vin-verification-coordination\":\"VIN Verification Coordination\"}},\"insurance-assistance\":{\"label\":\"Insurance Assistance\",\"children\":{\"proof-of-liability-insurance-assistance\":\"Proof of Liability Insurance Assistance\",\"immediate-insurance-support\":\"Immediate Insurance Support\"}}};\n        document.addEventListener('DOMContentLoaded', function () {\n            var yearSelect = document.getElementById('eapVehicleYear');\n            var makeSelect = document.getElementById('eapVehicleMake');\n            var modelSelect = document.getElementById('eapVehicleModel');\n            var makeOther = document.getElementById('eapVehicleMakeOther');\n            var modelOther = document.getElementById('eapVehicleModelOther');\n            var modelStatus = document.getElementById('eapVehicleModelStatus');\n            var requestNumber = 0;\n            function showOther(select, input) {\n                var active = select.value === '__other';\n                input.hidden = !active; 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