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Forms Directory
Welcome to the City of Irvine's Forms website.

The City Clerk's Office of Records and Information is responsible for managing all City forms.  The latest forms are available on this site in several formats and may be printed, saved or submitted by email or online.

To utilize the forms, you must have one of the following applications: Adobe Reader (Windows), Adobe Reader (MAC), Microsoft Word or Microsoft Excel.  If you do not have these applications, you may download and install them by clicking on the icons below.

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For questions or additional information, contact 949-724-6281.

 To find a form, enter the form name or number and/or select a department.  To browse the Forms Directory, click on the 
 A-Z index below.

 Form Name or Number: Department:
_CD Information Sheets
_PW Information Sheets
54-722020 Participant Permission & Medical Data
51-032022 Event Sponsorship Application
50-732023 Food Vendor Permit Application
58-26Accommodation/Inclusion Program Information - Disability Services 
53-12Acknowledgment of Third Party Subsidy Payment Procedures
41-60Address Application 
52-62Adult Basketball League Roster 
52-60Adult Softball League Roster 
57-39Adult Volunteer Application - Animal Care Center 
25-05Affidavit Of Intent To Duplicate Building Plans 
57-58After-Hours Animal Release Form 
22-14Alarm Permit Application
50-57Allocation Notice of Intended Use and Agreement
85-22Animal Services Business Permit Application
85-23Animal Services Special Event Permit Application
57-61Annual Sponsorship Application 
10-17Application for Appointive Position 
50-15Application for Appointive Position - IRDAB
50-20Application for Senior Citizens Council Member-At-Large Position
65-62Application for Special Inspector 
08-08Application for Use of City Logo or Ancillary Logos 
76-72Application for Visa Clearance Letter and Local Summary Criminal History Letter
65-85Application to Consider 
52-57Aquatics Birthday Party Request
52-82Aquatics Camp Rules & Behavior Policy
52-54Aquatics Classroom Request
52-49Aquatics Facility Application & Agreement
52-56Aquatics Pool Use Request
52-50Aquatics Recreation Swim Group Reservation Request
53-88Artwork Loan Agreement
ATC-20ATC20 Rapid Evaluation Safety Assessment Form
50-01Athletic Field Application & Agreement
55-23Attendant or Guest Agreement for TRIPS Transportation Services 
Bicycle Locker Use Agreement 
64-10Bicycle Locker User Agreement 
40-67Block Party Permit 
50-105Bounce House Vendor Permit Application
66-58Building Data Sheet 
65-59Building Permit Application 
22-05Business License Application
28-01Business License Change Form 
55-19AC1 Client Registration (Congregate Meals, Transportation) 
81-81Cannabis Testing Laboratory Business and Community Liaison Contact 
81-80Cannabis Testing Laboratory Employee Listing 
81-85Cannabis Testing Laboratory Permit Application 
81-88Cannabis Testing Laboratory Permit Renewal Application 
55-19BCare Management Assessment 
55-19CCare Management Reassessment 
57-12Cat Nail Trim Service
55-09CHAMPIONS Volunteer Request 
55-28CHAMPIONS Volunteers Disclaimer, Waiver & Indemnification (Participating Seniors) 
55-29CHAMPIONS Volunteers Disclaimer, Waiver & Indemnification (Volunteers) 
52-88Child Services Disciplinary Policy
08-09WCitizen Photographer Form
06-08WCity Council Invitation
61-04City Engineer Variance Request Application 
10-04Claim for Damages 
66-61Commercial Take-Off Sheet 
41-23ACommercial Temporary Utility Services Application
66-149Commercial/Multifamily Battery Storage System
58-35ACommunity Initiated Public Arts Application
58-35BCommunity Initiated Public Arts Preliminary Project Budget 
51-94ACommunity Outreach Team Explanation of Services 
65-61Completion of Inspection and Acceptance
23-24Conflict of Interest - External Reviewer
55-21Consent Form for Minor to Use TRIPS Transportation Service 
42-89Construction Site Inspection
66-129Construction Site Security Requirements Security Plan 
40-77Customer Service Evaluation - Community Development 
57-17Customer Service Survey - Animal Care Center 
55-44Customer Service Survey - Senior Services 
57-01Designer Tag Order Form 
40-13Developer Deposit Case Set-Up
42-14Development Case Application
40-87Digital Data Sharing Agreement 
51-06Drive-In Series Sponsorship Application
66-114Electric Vehicle Charging Station (EVCS) Permit Worksheet 
22-82Electronic Funds Transfer Form 
66-01Electronic/Digital Signature Disclosure
42-99Eligible Facilities Permit (EFP) Checklist 
42-98Eligible Facility Permit (EFP) Questionnaire Substantial Change Criteria 
55-20Emergency Form - Senior Services 
41-14DEngineering Cost Estimate
61-01Engineering Permit Application 
55-55Equipment Rental Form 
22-72Escrow Agreement for Security Deposits In Lieu of Contract Retention 
66-02E-Submittal Checklist and Questionnaire 
41-92Evaluation of Adjusted Construction Cost and Accessible Path of Travel Requirements 
43-24Extra-Legal Size Transportation Permit
51-01Facility Reservation Request/Application
50-56Fall Sports Secondary Users Post Season & Tryout Form 
80-11Film Permit Application 
65-88Final Grade (Precise) Civil 
65-89Final Grade Soils 
40-57Final Landscape 
57-30Financial Hardship Program Application 
58-22Fine Arts - Youth Program Rules & Behavior Policy 
57-22Foster Care Application 
66-57Grading Permit Application 
09-01Great Park Activity Waiver
52-89Great Park Athletic Field Reservation Request
66-140Great Park Checklist to Determine Applicability of CFD Funding 
09-07Great Park Site Rental Application
10-27Green Home Grant Program Application
53-103Group Artwork Loan Agreement
10-28Home Improvement Loan Pre-Application
40-27Home Occupation Application 
40-07Homeowner Instructions to Schedule an Inspection Appointment 
22-36Hotel Extended Stay Contract Transmittal Form 
05-25Hotel Worker Protection Ordinance Waiver Application
57-74IACC Adoption Event Donation
57-71IACC Adoption Event Non-Profit/Rescue Application
57-72IACC Adoption Event Shelter Application
57-73IACC Adoption Event Sponsor Application
57-70IACC Adoption Event Vendor Application
57-10IACC Agreement for Behavioral Services
57-20IACC Animal Euthanasia Release from Liability
57-02IACC Animal Release Form
57-06IACC Cat Adoption Interest Form
57-14IACC Cat Owner Surrender Questionnaire / Medical History Consent Form
57-07IACC Dog Adoption Interest Form
57-18IACC Dog Owner Surrender Questionnaire / Medical History Consent Form
57-08IACC Rabbit Adoption Interest Form
57-32IACC Rabbit Owner Surrender Questionnaire
57-87IACC Rescue Adoption Partner Application
57-09IACC Small Animal Adopter Survey
08-04ICTV Community Bulletin Board Request
58-34IFAC Exhibition Proposal Requirements & Application
20-14Incident/Contact Report ADA Non-Discrimination Grievance Form
50-98Inside Irvine Advertising Interest
41-10Inspection Request 
65-03Inspection Request 
55-33Interested Service Provider Listing Disclaimer, Waiver & Indemnification 
05-16WInternational Visitors/Delegations Request Form
53-11Irvine Child Care Project Scholarship Application (2024-25)
81-86Irvine Limitations on City's Liability and Certifications, Assurances and Warranties 
55-14Irvine Meals On Wheels Participant Agreement 
50-83Irvine Open Space Preserve Access Application and Agreement 
64-07Irvine Traffic Analysis Model (ITAM) User Agreement
50-02IUSD Athletic Facility Application
51-10IUSD Request for Facility Reservations
58-48Jazzercise Membership Pass 
55-12Keen Center - Medical Equipment Checkout 
55-10Keen Center - Participant Contact Form 
55-13Keen Center - Transportation Program Application 
57-86Kennel and Animal Support 
54-51Kids Club - Acknowledgment of Procedures
54-52Kids Club - Parental Authorization and Release
50-70Landowner Authorization to Conduct Research/Project Special Access Permit 
50-71Landscaper Self-Haul Recycling Permit Business Application
10-02Lobbyist Quarterly Report of Activity 
10-01Lobbyist Registration Report - Annual/Initial Registration
23-26Local Vendor Preference Affidavit of Eligibility
57-26Lost Animal Report 
28-23Massage Technician Registration Application 
54-71Medicine Log and Administration Sheet 
58-45Military Banner Application
43-67Minor Modification to an Approved Sign Program 
43-54Model Home Sales Complex Permit Application 
40-81Model Water Efficient Landscape Ordinance 
66-16New Residential Revision Supplemental Questionnaire 
64-11Notice of Termination Bicycle Locker User Agreement 
55-45Nutrition Risk Assessment 
43-66Occupancy Disclosure 
66-145On-Call Activity Report
41-66Open Lattice Patio For Single Family Dwelling 
50-85Organics Recycling Complaint/Violation Report
43-77Outdoor Dining Screening Application 
66-103Overtime Inspection Request
25-03Owner Authorization to Duplicate Building Plans
65-52Park Permit Application 
81-83Parking Variance Request
53-09Participant Permission/Emergency Form (HSYAT)
58-36Participant Permission/Emergency Form (MSYAT)
55-32Participant's Form Non-Emergency Medical Transportation Disclaimer, Waiver & Indemnification 
66-19Permit Declaration (By Authorized Agent)
66-17Permit Declaration (By Contractor)
66-18Permit Declaration (By Owner-Builder)
65-33BPermit Revision/Deferred Submittal Application (Community Development) 
61-08Permit Revision/Deferred Submittal Application (Public Works) 
05-19Photograph/Video Release 
65-60Photovoltaic System Installer Declaration 
55-58Physicians Certificate of Need 
51-05Picnic Shelter and Bounce House Request/Application
65-33Plan Check Re-Submittal 
52-69Player ID Card Registration 
66-124Post Construction Structural Standard Notes 
45-38Prioritization for New Development and Significant Redevelopment Projects 
53-19Program Registration Application 
58-29Program Registration Application - Disability Services 
65-24Project Contact Information 
66-137Project Owners Certification 
65-25Project Planning Clearance Referral 
50-84Public Benefit Program Application
57-89Puppy Wellness Program 
43-51Pushcart Permit Application 
66-122ARecycling and Diversion of Construction and Demolition Waste Assessment 2.0 
28-03Reduced Business License Tax Application 
72-43ARequest for a Parking Citation Review 
10-08Request for Appeal 
81-71Request for Officer Appearance or Police Presentation 
50-92Request for Participation in Community Event
43-03Request for Plan Check/Permit Extension
76-02Request for Police Report 
10-09Request for Presentation
10-07Request for Proclamation/Commendation
10-06Request for Public Records
76-71Request for Public Records (Public Safety)
71-45Request for Return of Property
65-53Request for Special Services 
22-70Request for Unclaimed Funds
66-26Re-Roof Questionnaire (Multi-Family Buildings) 
66-27Re-Roof Questionnaire (Non-Residential, Hotels, Motels) 
50-82Resident Appreciation Program Information And Application 
66-148Residential Battery Storage System
43-09Residential Beekeeping Permit Application 
43-11Residential Beekeeping Permit Property Owner Acknowledgment 
41-10Residential Beekeeping Plan 
66-28Residential Re-Roof Questionnaire (One- and Two-Family Dwellings) 
42-51Residential Take-Off Sheet 
41-23BResidential Temporary Utility Services Application
43-52Reverse Vending Machine Application 
71-64Ride-Along Waiver for Personal Injury 
61-02Right-of-Way and Encroachment Permit Application 
65-90Rough Grade Civil 
65-91Rough Grade Soils 
50-88SB 1383 Solid Waste & Recycling Regulations Waiver Request
43-81SB 330 Preliminary Application
50-30Scholarship Procedures & Application
42-97School Facilities Fee Determination 
50-93Self-Haul/Back-Haul Recycling Permit Business Application
55-34Senior Services Scholarship Application
57-33Service Dog Application 
55-17Shared Housing Disclaimer, Waiver and Indemnification 
55-48Shared Housing Information 
43-79Sidewalk Vending Permit Application 
66-108Single Family Electrical Calculation Sheet 
43-78Small Utility Facility Permit Checklist 
65-43Smoke Detector & Carbon Monoxide Alarm Retrofit/Verification Requirements 
52-76Soccer League Roster 
52-75Soccer Questionnaire 
52-59Softball League Questionnaire 
43-20Special Event Coordinator Accessibility Indemnification
80-10Special Event Permit Application 
51-14Special Events Band Interest Form
65-34Special Inspection Manual 
65-09Special Inspection Program Summary 
40-03Special Inspection Report File 
65-77Special Inspector Daily Performance Report 
40-04Special Inspector Non-Compliance Report 
40-05Special Inspector Record of Correction Report 
55-47Special Needs Program Request for Services 
55-35Special Needs Scholarship Program 
55-57Specialty Facilities Equipment Rental Form 
51-11Sponsorship Agreement 
50-66Spring Sports - All Star Allocation Request 
66-109Standard Cart Retrieval Plan 
41-31BStandard Non-Residential Security Code Provisions [Version 5.0] 
41-31BStandard Non-Residential Security Code Provisions [Version 6.0] 
66-113 (2019 v3.1)Standard Notes Non-Residential Construction - 2019 California Green Building Standards (3.1) 
66-113 (2022 v4.0)Standard Notes Non-Residential Construction - 2022 California Green Building Standards (4.0) 
66-112 (2002 v4.0)Standard Notes Residential Construction - 2022 California Green Building Standards (4.0) 
66-112 (2022 v4.1)Standard Notes Residential Construction - 2022 California Green Building Standards (4.1) 
41-33BStandard Parking Facility Security Code Provisions [Version 5.0] 
41-33BStandard Parking Facility Security Code Provisions [Version 6.0] 
41-30BStandard Recreational Spaces Security Code Provisions [Version 5.0] 
41-30BStandard Recreational Spaces Security Code Provisions [Version 6.0] 
41-29BStandard Residential Security Code Provisions [Version 5.0] 
41-29BStandard Residential Security Code Provisions [Version 6.0] 
66-110Statement of Special Inspection (2019) 
66-110Statement of Special Inspection (2022) 
81-70Station Tour Request
22-21Stop Payment Request
40-83Structural Observation Program 
40-82Structural Observation Report 
43-19Subcontractors List
43-02Supplemental Application for Wireless Sites 
50-57ASupplemental Documents for Allocation Use
52-92Supplemental Tennis Registration 
42-18Temporary Banner Permit Application 
50-74Temporary Banner Permit Application For Community Services Locations
41-24Temporary Generator Permit Application 
57-88Third Chance Application 
57-69Tour Request - Animal Care Center 
65-26Traffic Control Facility Damage Report 
22-40Transient Occupancy Tax Exemption Certificate 
22-83Transient Occupancy Tax Questionnaire 
22-65Transient Occupancy Tax Registration Certificate 
66-91Transportation Corridor Agencies Non-Residential Fee Determination 
66-92Transportation Corridor Agencies Residential Fee Determination 
55-37Transportation Request 
40-66ATree Removal Permit Application 
55-60TRIPS Scholarship Application
55-26TRIPS Senior Center Express Application
55-22TRIPS Transportation Services Participant Agreement
55-24TRIPS Transportation Services Procedure and Application
50-03TUSD Athletic Facility Application
22-64Uniform Transient Occupancy Tax/Hotel Improvement District Refund Claim 
22-41Uniform Transient Occupancy Tax/Hotel Improvement District Return 
43-01Use Determination Letter Class & Instruction Template 
22-80Utility Information
22-86Utility Users Registration 
22-81Utility Users Tax Annual Payment Agreement
22-85Utility Users Tax Refund Claim 
22-84Utility Users Tax Return 
22-67Utility Users Tax Single Payment Option
73-78Victim Bank Records Waiver 
20-05Volunteer Acknowledgment and Certificate of Understanding 
55-31Volunteer Driver Disclaimer, Waiver, and Indemnification 
54-73Volunteer Guidelines & Permission/Emergency Form (HSYAT)
50-10Volunteer Registration 
73-36Waiver of Complaint and Request for Investigation 
58-37Wall of Recognition Nomination 
50-86Waste Management Plan
66-138Water Conserving Plumbing Fixture Certification 
71-55What About My Complaint? 
66-101WQMP Notice of Transfer of Responsibility 
65-30WQMP Operations and Maintenance Plan