Form Center

2. 
4. Owner Information
6. Full Name
8. Address
9. City / State
11. Phone Number
12. Email
14. Driver License State/Number
15. Driver License Expiration
17. UTV Registration
19. Make
20. Model
22. Year
23. Color
25. Insurance Company
26. Policy #
28. CPW Registration #
29. VIN
31. Registration Type

    1. New Registration
    2. Renewal
    3. Replacement
32. Resident Type

    1. Resident $50 *inside city limits
    2. Non-resident $100 *not within city limits
34. Reason for Replacement

    The fee for a replacement of a stolen permit will be waived, as long as there is an associated police report.

36. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.

38. I hereby swear by penalty or affirm under penalty of perjury that I am the lawful owner of the vehicle described above, and that the information given herein is true and correct to the best of my knowledge.

40. Electronic Signature
41. Date
    Date
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field