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STATE OF CALIFORNIA USE ONLY AT NUMBERDEPARTMENT OF MOTOR VEHICLESREPORT OF TRAFFIC COLLISION INVOLVING AN AUTONOMOUS VEHICLE Public Service AgencyNAMEInstructions: Please print within the spaces
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This form is used for reporting autonomous online income.
Individuals who have earned income from autonomous online activities need to file this form.
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The purpose of this form is to report income generated from autonomous online activities.
You must report details of income earned from autonomous online activities, including sources and amounts.
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