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California Bicycle License Application

If you sell the bicycle, notify the new owner to contact their local police department to relicense the bicycle. If you dispose of the bicycle by other means, notify the Irvine Police Department at 949-724-7000 so your record can be updated.

NOTE: Fields highlighted in YELLOW are required.

Owner Information

LAST NAME* *

FIRST NAME* *

MIDDLE NAME*

IRVINE ADDRESS* *

ZIP* *

PHONE* *

DATE OF BIRTH

EMAIL* *

BICYCLE INFORMATION

BRAND OF BIKE *

MODEL *

SERIAL NUMBER *

COLOR *

TRIM COLOR

WHEEL SIZE (16-28) *

TIRES *

BRAKE *

TYPE OF SEAT *

FENDERS *

YES

LIGHTING *

YES

SPEEDS (1-28) *

FRAME CODE *

HANDLE BAR CODE *

OTHER SPECIAL FEATURES

FOR INTERNAL USE ONLY

LICENSE NUMBER ISSUED

The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, the personal information noted by an asterisk (*) on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.

Math question * 3 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.