2. INSTRUCTIONS
   Address verification is required. Please submit a valid (non-expired) copy of your vehicle registration showing your El Cerrito residence address. If your El Cerrito residence address is not the current address on your vehicle registration, a copy of a utility bill (PGE, Water, or Garbage) or a rental lease agreement containing your name, owners name, and both parties’ signatures is required for proof of residency.
4. Please attach the following when submitting this form: 1. A valid copy of the vehicle registration. 2. Proof of residency (if applicable—see instructions above). Once your application is received and reviewed, a staff member will contact you regarding payment options. Incomplete applications will not be processed.
6. Please note: Parking permits are non-renewable. A current copy of your car registration and proof of residency (if applicable) must be submitted each time you purchase a new permit. Below there are multiple entry fields, if you have more than one vehicle: please use the additional Vehicle Information fields and submit the required documents for each entry.
8. STREET ADDRESS*
10. Contact Email*
12. VEHICLE #1
14. Vehicle Information
    Complete the following information about your vehicle and ownership, which should match your vehicle registration. You will be required to upload a copy of the current, valid registration.
16. Vehicle Status*

    Indicate whether this vehicle has previously received an El Cerrito residential parking permit in this zone.

    1. Prior permit
    2. New permit
18. Permit #
    Enter the number of your expiring permit.
20. Year*
21. Make*
22. Model*
24. License Plate #*
25. VIN*
27. Registered Owner*
29. El Cerrito Residence
    Complete the following information about the location where your vehicle is located in the City of El Cerrito. If this address does not match your vehicle registration, you will be required to upload proof of residency.
31. Name of Applicant*
33. Address*
35. City*
36. State*
37. Zip*
39. Home Phone*
40. Work Phone
42. Documentation
44. Vehicle registration*
    Please scan your vehicle registration as a PDF. Select "Browse" to locate the scanned document on your computer. Then upload to the City's secure website.
46. Does the address on your vehicle registration match the information provided above?*

    1. Yes
    2. No
48. Proof of residence
    If your vehicle registration reflects a different address than shown above, provide a copy of PG&E, EBMUD, or East Bay Sanitary bills ONLY. Other documents will not be accepted.
50. By selecting the box below, you are agreeing to the following statement:
    I certify that I live at the above address and the vehicle for which this permit is requested is housed at this same address.
52. Do you agree?*

    1. I agree
56. VEHICLE #2
58. Vehicle Information
    Complete the following information about your vehicle and ownership, which should match your vehicle registration. You will be required to upload a copy of the current, valid registration.
60. Vehicle Status

    Indicate whether this vehicle has previously received an El Cerrito residential parking permit in this zone.

    1. Prior permit
    2. New permit
62. Permit #
    Enter the number of your expiring permit.
64. Year
65. Make
66. Model
68. License Plate #
69. VIN
71. Registered Owner
73. El Cerrito Residence
    Complete the following information about the location where your vehicle is located in the City of El Cerrito. If this address does not match your vehicle registration, you will be required to upload proof of residency.
75. Name of Applicant
77. Address
79. City
80. State
81. Zip
83. Home Phone
84. Work Phone
86. Documentation
88. Vehicle registration
    Please scan your vehicle registration as a PDF. Select "Browse" to locate the scanned document on your computer. Then upload to the City's secure website.
90. Does the address on your vehicle registration match the information provided above?

    1. Yes
    2. No
92. Proof of residence
    If your vehicle registration reflects a different address than shown above, provide a copy of PG&E, EBMUD, or East Bay Sanitary bills ONLY. Other documents will not be accepted.
94. By selecting the box below, you are agreeing to the following statement:
    I certify that I live at the above address and the vehicle for which this permit is requested is housed at this same address.
96. Do you agree?

    1. I agree
100. VEHICLE #3
102. Vehicle Information
     Complete the following information about your vehicle and ownership, which should match your vehicle registration. You will be required to upload a copy of the current, valid registration.
104. Vehicle Status

     Indicate whether this vehicle has previously received an El Cerrito residential parking permit in this zone.

     1. Prior permit
     2. New permit
106. Permit #
     Enter the number of your expiring permit.
108. Year
109. Make
110. Model
112. License Plate #
113. VIN
115. Registered Owner
117. El Cerrito Residence
     Complete the following information about the location where your vehicle is located in the City of El Cerrito. If this address does not match your vehicle registration, you will be required to upload proof of residency.
119. Name of Applicant
121. Address
123. City
124. State
125. Zip
127. Home Phone
128. Work Phone
130. Documentation
132. Vehicle registration
     Please scan your vehicle registration as a PDF. Select "Browse" to locate the scanned document on your computer. Then upload to the City's secure website.
134. Does the address on your vehicle registration match the information provided above?

     1. Yes
     2. No
136. Proof of residence
     If your vehicle registration reflects a different address than shown above, provide a copy of PG&E, EBMUD, or East Bay Sanitary bills ONLY. Other documents will not be accepted.
138. By selecting the box below, you are agreeing to the following statement:
     I certify that I live at the above address and the vehicle for which this permit is requested is housed at this same address.
140. Do you agree?

     1. I agree
144. VEHICLE #4
146. Vehicle Information
     Complete the following information about your vehicle and ownership, which should match your vehicle registration. You will be required to upload a copy of the current, valid registration.
148. Vehicle Status

     Indicate whether this vehicle has previously received an El Cerrito residential parking permit in this zone.

     1. Prior permit
     2. New permit
150. Permit #
     Enter the number of your expiring permit.
152. Year
153. Make
154. Model
156. License Plate #
157. VIN
159. Registered Owner
161. El Cerrito Residence
     Complete the following information about the location where your vehicle is located in the City of El Cerrito. If this address does not match your vehicle registration, you will be required to upload proof of residency.
163. Name of Applicant1
165. Address
167. City
168. State
169. Zip
171. Home Phone
172. Work Phone
174. Documentation
176. Vehicle registration
     Please scan your vehicle registration as a PDF. Select "Browse" to locate the scanned document on your computer. Then upload to the City's secure website.
178. Does the address on your vehicle registration match the information provided above?

     1. Yes
     2. No
180. Proof of residence
     If your vehicle registration reflects a different address than shown above, provide a copy of PG&E, EBMUD, or East Bay Sanitary bills ONLY. Other documents will not be accepted.
182. By selecting the box below, you are agreeing to the following statement:
     I certify that I live at the above address and the vehicle for which this permit is requested is housed at this same address.
184. Do you agree?

     1. I agree
Leave This Blank:


186. 1. Receive an email copy of this form.
187. Email address

     This field is not part of the form submission.

188. Submit Submit and Print

* indicates a required field