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. Applicant Type*

    1. Owner

    1. Renter
12. Contact Email*
14. VEHICLE #1
16. 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.
18. Vehicle Status*

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

    1. Prior permit
    2. New permit
20. Permit #
    Enter the number of your expiring permit.
22. Year*
23. Make*
24. Model*
26. License Plate #*
27. VIN*
29. Registered Owner*
31. 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.
33. Name of Applicant*
35. Address*
37. City*
38. State*
39. Zip*
41. Home Phone*
42. Work Phone
44. Documentation
46. 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.
48. Does the address on your vehicle registration match the information provided above?*

    1. Yes
    2. No
50. 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.
52. 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.
54. Do you agree?*

    1. I agree
58. VEHICLE #2
60. 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.
62. Vehicle Status

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

    1. Prior permit
    2. New permit
64. Permit #
    Enter the number of your expiring permit.
66. Year
67. Make
68. Model
70. License Plate #
71. VIN
73. Registered Owner
75. 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.
77. Name of Applicant
79. Address
81. City
82. State
83. Zip
85. Home Phone
86. Work Phone
88. Documentation
90. 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.
92. Does the address on your vehicle registration match the information provided above?

    1. Yes
    2. No
94. 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.
96. 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.
98. Do you agree?

    1. I agree
102. VEHICLE #3
104. 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.
106. Vehicle Status

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

     1. Prior permit
     2. New permit
108. Permit #
     Enter the number of your expiring permit.
110. Year
111. Make
112. Model
114. License Plate #
115. VIN
117. Registered Owner
119. 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.
121. Name of Applicant
123. Address
125. City
126. State
127. Zip
129. Home Phone
130. Work Phone
132. Documentation
134. 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.
136. Does the address on your vehicle registration match the information provided above?

     1. Yes
     2. No
138. 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.
140. 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.
142. Do you agree?

     1. I agree
146. VEHICLE #4
148. 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.
150. Vehicle Status

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

     1. Prior permit
     2. New permit
152. Permit #
     Enter the number of your expiring permit.
154. Year
155. Make
156. Model
158. License Plate #
159. VIN
161. Registered Owner
163. 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.
165. Name of Applicant1
167. Address
169. City
170. State
171. Zip
173. Home Phone
174. Work Phone
176. Documentation
178. 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.
180. Does the address on your vehicle registration match the information provided above?

     1. Yes
     2. No
182. 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.
184. 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.
186. Do you agree?

     1. I agree
Leave This Blank:


188. 1. Receive an email copy of this form.
189. Email address

     This field is not part of the form submission.

190. Submit Submit and Print

* indicates a required field