When you
click the "Submit Form" button a message will appear
asking if you would like to continue, click "Ok" to send
the information via email. You will need to close this window to get back
to the previous page.
If you are not comfortable submitting this
information electronically, you have the option to print this page, fill
in your information and send to Leticia Santana at facsimile number
209.476.2960, telephone number 209.473.7800.