Homepage > ... > City Clerk > Office of Records > FormsE-mail storyPrint friendly format
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.

Adobe Reader (Windows) Adobe Reader (Mac)
Microsoft Word Viewer Microsoft Excel Viewer
For questions or additional information, contact 949-724-6281.
S E A R C H

 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:
 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z SHOW ALL
FORM #FORM TITLEDOWNLOADONLINE
40-27 Home Occupation Application (copy) 
52-6690' Field Request 
42-74Abandoned Shopping Carts FAQs Apartment Managers 
42-73Abandoned Shopping Carts FAQs Residents/Customers 
42-76Abandoned Shopping Carts FAQs Shopping Cart Owners 
58-26Accommodation/Inclusion Program Information Packet 
42-48Acoustical Report Information Sheet 
41-60Address Application 
43-39Administrative Relief Information Sheet 
52-62Adult Gym League Roster - Basketball 
52-60Adult Softball League Roster 
57-39Adult Volunteer Application 
57-58After-Hours Animal Release Form 
22-14Alarm Permit Application
57-69Animal Care Center Tour Request 
57-03Animal Registration Application 
57-02Animal Release Form 
85-22Animal Services Business Permit 
66-102Anti-Entrapment Handout 
10-17Application For Appointive Position 
50-71Application for Banner Installation 
61-04Application for City Engineer Variance Consideration 
65-62Application for Special Inspector 
55-24Application for TRIPS Transportation Services 
41-92Application for Unreasonable Hardship Exception to Disabled Access Requirements 
08-08Application for Use of City Logo or Ancillary Logos 
76-72Application for Visa Clearance Letter & Local Summary Criminal History Letter 
55-25Application Medical Verification for TRIPS Transportation Services 
65-85Application to Consider 
52-57Aquatics Birthday Party Request Form 
52-82Aquatics Camp Rules & Behavior Policy 
52-54Aquatics Classroom Request Form 
52-49Aquatics Facility Application & Agreement 
52-61Aquatics Program Registration Application
53-29Arts Camp Emergency Form 
52-05Artview at City Hall Loan Agreement 
50-01Athletic Field Application & Agreement 
55-23Attendant or Guest Agreement for TRIPS Transportation Services 
50-75Authorization to Disclose Protected Health Information 
64-10Bicycle Locker Use Agreement 
40-67ABCBlock Party Permit 
66-58Building Data Sheet 
66-130Building Energy Efficiency Standards - Non-Residential 
66-131Building Energy Efficiency Standards - Residential 
52-78Building Patron Information Sheet 
65-59Building Permit Application 
41-26BBuilding Valuation Data 
22-05Business License Application
28-27Business License Application Contract Business/Special Event 
57-65Business Sponsorship of Super Pet Adoption 
79-16California Bicycle License Application 
60-06Capital Improvement Program Citizen Request Form 
57-14Cat Owner Relinquishment Questionnaire 
57-06Cat Pre-Adoption Questionnaire 
55-41CDBG Public Service Intake Form 
55-09CHAMPIONS Volunteer Request 
55-28CHAMPIONS Volunteers Disclaimer, Waiver & Indemnification (Participating Seniors) 
55-29CHAMPIONS Volunteers Disclaimer, Waiver & Indemnification (Volunteers) 
28-19Change of Business Name and/or Mailing Address 
28-01Change of Physical Location Application 
53-10Child Care Scholarship Application 
54-20Child Resource Center - Group Membership Application 
54-23Child Resource Center - Individual Membership Application 
54-10Child Resource Center - Membership Agreement 
54-59Child Services Emergency Form 
08-09Citizen Photographer Form
06-08City Council Invitation
10-04Claim for Damages 
22-70Claim for Unclaimed Funds 
58-32Comment Card - Irvine Fine Arts Center 
43-61Commercial Agricultural Sales Permit 
66-61Commercial Take-Off Sheet 
66-13Commercial/Industrial New Building or Additions Plan Submittal Requirements 
50-30Community Services Scholarship Application 
42-35Concept Plan Information Sheet 
50-52Concession Stand Request Form 
42-02Conditional Use Permit Information Sheet 
40-18Conditional Use Permit Packet 
55-21Consent Form for Minor to Use TRIPS Transportation Service 
57-29Consent Form for Treatment of a Minor 
50-86Construction & Demolition Debris Recycling Program 
66-129Construction Site Security Requirements Security Plan 
66-107Construction Waste Reduction Compliance Report 
58-30Contract Class Proposal
50-28Credit Card Authorization 
10-35Customer Service Evaluation - City Clerk's Office 
40-77Customer Service Evaluation - Community Development 
55-44Customer Service Survey - Senior Services 
66-98Declaration and Agreement 
57-01Designer Tag Order Form 
40-13Developer Deposit Case Set Up 
42-14Development Case Application 
43-42Discretionary Case Processing Information Sheet 
57-18Dog Owner Relinquishment Questionnaire 
57-07Dog Pre-Adoption Questionnaire 
10-19Donation Acceptance Request 
55-08Donation Form
53-40Dorothy Bragg Award Application 
66-114Electric Vehicle Service Equipment Over the Counter Permit Worksheet 
22-82Electronic Funds Transfer Form 
22-25Electronic Funds Transfers 
55-20Emergency Form - Senior Services 
65-28AEncroachment Permit Application 
61-01Engineering Permit Application 
66-121E-Plan Submittal Requirements Grading Projects 
61-06E-Plan Submittal Requirements Improvement Projects 
66-120E-Plan Submittal Requirements New Commericial & Residential Buildings, Tenant Improvements, Residential Remodel & Addition 
57-20Euthanasia Release 
43-24BExtra-Legal Size Special Conditions 
43-24Extra-Legal Size Transportation Permit 
50-56Fall Sports Secondary Users Post Season & Tryout Form 
43-46Film Permit Information Sheet and Application 
65-88Final Grade (Precise) Civil 
65-89Final Grade Soils 
40-57Final Landscape 
51-94FOR Families Explanation of Services 
50-79FOR Families Information Sheet (Child/Adolescent/Teen) 
50-77FOR Families Intake Form 
57-22Foster Care Application 
58-34Gallery Exhibition Application 
42-22General Plan Amendment Information Sheet 
66-105Grading Manual 
66-57Grading Permit Application 
41-80Grading Plan Check Transmittal 
41-14Grading Plan Processing Information Packet 
66-113 Rev 1-1-14Green Building Standard Notes - Non Residential (application date after 1/1/14) 
66-113 Rev 7-1-12Green Building Standard Notes - Non Residential (application date after 7/1/12, but before 1/1/14) 
66-112 Rev 1-1-14Green Building Standard Notes - Residential (application date after 1/1/14 but before 7/1/14) 
66-112 Rev 7-1-12Green Building Standard Notes - Residential (application date after 7/1/12, but before 1/1/14) 
66-112 Rev 7-1-14Green Building Standard Notes - Residential (application date after 7/1/14) 
50-17Health Insurance Survey 
09-04Hold Harmless Agreement 
53-43Holiday Faire Application 
40-27Home Occupation Application 
40-07Homeowner Instructions to Schedule an Inspection Appointment 
22-87Hotel Contact Information Request 
22-36Hotel Extended Stay Contract Transmittal Form 
74-17Wi-Alert Registration Form
08-04ICTV Community Bulletin Board Request Form
08-03ICTV Electronic Bulletin Board Request for Board Listing 
41-10Inspection Request 
65-03Inspection Request 
05-03Interest List 
50-46Interest List - Community Services 
55-33Interested Service Provider Listing Disclaimer, Waiver & Indemnification 
05-16WInternational Visitors/Delegations Request Form
54-60iPAC Emergency Form 
43-64Irvine Business Complex (IBC) Information Sheet 
43-65Irvine Business Complex Transportation Mitigation Fees Information Sheet 
53-32Irvine Fine Arts Center - Contract and Hold Harmless Agreement 
53-47Irvine Fine Arts Center - Membership & Mailing List Request Form 
53-88Irvine Fine Arts Section - Loan Agreement and Contract Agreement 
55-14Irvine Meals On Wheels Participant Agreement 
55-12Keen Center - Medical Equipment Checkout 
55-10Keen Center - Participant Contact Form 
55-37Keen Center - Transportation Request Form 
54-29AKids and Nature Participation Permission Form 
50-70Landowner Authorization to Conduct Research/Project Special Access Permit 
40-38Large Family Day Care Permit Application 
10-05Lobbyist Initial/Annual Registration Report 
10-01Lobbyist Quarterly Report of Activity 
23-26Local Vendor Preference Affidavit of Eligibility 
57-26Lost Animal Report 
66-28ALow Rise Residential Re-Roofing Permit Application Questionnaire 
65-07Mail-In Permit Application - Residential 
43-49Manufactured Structure Information Sheet 
43-77Massage Establishment Information Sheet 
42-36Master Plan Information Sheet 
50-76Material Exchange Listing 
55-38Medical Clearance - Rancho Senior Center Fitness Center 
06-05Meet the Mayor Information Card 
52-03Membership Application - Aquatics 
43-67Minor Modification to an Approved Sign Program 
43-62Minor/Major Modification Information Sheet 
50-73Mobile Food Vendor Permit 
50-51Mobile Food Vendor Reservation Application 
43-54Model Home Information Sheet 
06-06Multicultural and Affiliate Organization Form 
10-45Musical Presentation Form 
66-14New Residential Dwelling Plan Submittal Requirements 
50-57Notice of Intended Use 
55-19BNutrition and Case Management Client Registration Form (C-2) 
55-19ANutrition Client Registration Form (C-1) 
55-45Nutrition Risk Assessment 
43-66Occupancy Disclosure 
50-83Open Space Preserve Access Application & Agreement 
53-20Open Space Preserve Participant Waiver 
52-20Open Studio Information Card 
09-07WOrange County Great Park Site Rental Application
52-21Parent Permission Form - Irvine Fine Arts Center 
53-18Parent Permission Waiver 
52-81Parental Authorization And Release (Aquatics Camp) 
54-52Parental Authorization and Release (Irvine Fine Arts Center) 
53-66Parental Authorization and Release (Irvine Fine Arts Center) 
43-74Park Design Information Sheet 
65-52Park Permit Application 
43-75Park Plan Information Sheet 
43-50Parking Lot Modification Information Sheet 
55-22Participant Agreement for TRIPS Transportation Services 
54-62Participant Emergency Form 
52-70Participant Emergency Form High Risk 
52-01Participant Permission/Emergency Form 
53-09Participant Permission/Emergency Form (High School YAT) 
58-36Participant Permission/Emergency Form (Middle School YAT) 
54-67Participant Permission/Emergency Form (Youth Wellness Committee) 
55-32Participant's Form Non-Emergency Medical Transportation Disclaimer, Waiver & Indemnification 
66-139Permit Declaration 
65-33BPermit Revision/Deferred Submittal Application (Community Development) 
61-08Permit Revision/Deferred Submittal Application (Public Works) 
08-05Photo/Video Release Form 
66-12Piling/Foundation Plan 
65-33Plan Check Re-Submittal (Community Development) 
61-07Plan Check Re-Submittal (Public Works) 
66-10Plan Check Submittal Requirements: Commercial/Industrial Tenant Improvements or Alterations 
43-73Planning Services and Development Services Fees 
52-69Player ID Card Registration 
66-104Playground Plan Information Sheet 
41-17APool and Spa Plan Submittal Requirements 
52-56Pool Use Request 
66-124Post Construction Structural Standard Notes 
43-41Pre-Application Information Sheet 
45-38Prioritization for New Development and Significant Redevelopment Projects 
53-19Program Registration Application 
58-29Program Registration Application - Disability Services 
50-42Program Registration Withdrawal Form 
65-24Project Contact Information 
66-137Project Owners Certification 
50-84Public Benefit Program Application 
51-01Public Facility Application and Agreement 
50-19Public Facility Application and Agreement - Heritage Park Band Room 
43-04Public Facility Review Information Sheet 
43-51Pushcart Permit 
57-32Rabbit Owner Relinquishment Questionnaire 
57-08Rabbit Pre-Adoption Questionnaire 
10-26Receipt of Lobbyist Registration 
52-71Recreation Class Survey 
66-122Recycling and Diversion of Construction and Demolition Waste Assessment 
28-03Reduced Business License Tax Application 
54-68Registration Application - Child Care Coordination 
54-05Registration Application - Child Resource Center 
54-30Registration Application - Super Saturday 
72-43ARequest for a Parking Citation Review 
10-42Request for Appeal 
50-92Request for Environmental Programs Participation in Community Event 
52-48Request for Outreach Call 
10-46Request For Presentation 
10-07Request for Proclamation/Commendation 
10-06ARequest for Public Records
76-71Request for Public Records (Public Safety)
65-53Request for Special Services 
66-27Re-Roof Questionnaire 
43-68Research Letter Information Sheet 
50-82Resident Appreciation Program Information And Application 
63-07WResident Report Form
66-15Residential Additions/Remodels Plan Submittal Requirements 
66-126Residential Photo-Voltaic General Notes Based on 2010 CBC and 2010 CEC 
66-115Residential Swimming Pool/Spa Inspection Record 
42-51Residential Take-Off Sheet 
43-52Reverse Vending Machine 
65-28ARight of Way and Encroachment Permit Application 
65-90Rough Grade Civil 
65-91Rough Grade Soils 
42-97School Facilities Fee Determination 
43-01School Facilities Fees Information Sheet 
50-55Secondary Field Request - Fall Sports 
50-68Secondary Field Request - Spring Sports 
57-33Service Dog Application 
55-16Service Provider Information 
43-63Sexually Oriented Business Information Sheet 
55-17Shared Housing Disclaimer, Waiver and Indemnification 
55-48Shared Housing Information 
43-57Sign Permit Information Sheet 
42-01Sign Program 
66-108Single Family Electrical Calculation Sheet 
42-15Site Plan Summary Information Sheet 
43-03Slurry Seal Fee Information Sheet 
65-43Smoke Detector & Carbon Monoxide Alarm Retrofit/Verification Requirements 
52-76Soccer League Roster 
52-75Soccer Questionnaire 
52-59Softball League Questionnaire 
66-134Solar Photo-Voltaic Conductor Table for Single Family Dwelling Central and Microinverters 
66-135Solar Photo-Voltaic Standard Plan Central Inverter Systems for Single Family Dwellings 
66-136Solar Photo-Voltaic Standard Plan Microinverter Systems for Single Family Dwellings 
41-04Solar Photo-Voltaic System for Single Family Dwellings Submittal Requirements 
41-16Solar Photo-Voltaic Systems for Commercial and Multi-Family Residential Buildings 
80-10Special Event Permit Application 
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 
58-35Special Request Workshop Confirmation and Guidelines 
50-66Spring Sports - All Star Allocation Request 
50-67Spring Sports - Pre-Allocation Field Request 
66-109Standard Cart Retrieval Plan 
41-57Standard Conditions and Regulations for Encroachment/Miscellaneous Construction Permits 
61-03Standard Conditions and Regulations for Traffic Signal Permits 
41-31Standard Non-Residential Security Code Provisions [Version 1.0 12/08] 
66-111Standard Notes Indoor Air Quality 
41-33Standard Parking Facility Security Code Provisions [Version 1.0 12/08] 
41-33AStandard Parking Facility Security Code Provisions [Version 2.0 1/11] 
41-30Standard Recreational Spaces Security Code Provisions [Version 1.0 12/08] 
41-30AStandard Recreational Spaces Security Code Provisions [Version 2.0 applies to applications made on or after 1/1/11] 
41-29Standard Residential Security Code Provisions [Version 2.0 12/08] 
41-29AStandard Residential Security Code Provisions [Version 3.0 applies to applications made on or after 1/1/11] 
41-27Standard Security Code Plan Requirements and Definitions 
65-23Standard Stormwater Pollution Prevention Notes for Construction Projects 
Form 700Statement of Economic Interests 
66-110Statement of Special Inspection 
22-21Stop Payment Request 
58-02Studio Arts Festival 
58-03Studio Volunteer Application 
43-19Subcontractors List 
42-03Subdivisions: Tentative Tract/Tentative Parcel Maps 
41-40ASubmittal Requirements Lattice or Solid Roof Patio Cover/Gazebo/2nd Story Deck 
50-69Summer Camp Request Form 
54-53Sunscreen Utilization Permission Form 
66-116Swimming Pool/Spa Inspection Record 
08-02Talent Release Form 
66-117Tamper-Resistant Refrigerant Service Port Requirements 
52-09Teen Camp Parent Permission/Medical Form 
41-22Temporary 30-Day Use and Occupancy Permit Application 
42-18Temporary Banner Permit 
65-29Temporary Generator Permit Information Sheet 
41-23Temporary Utility Services Application 
61-09Traffic Control Guidelines 
22-64Transient Occupancy Tax / Hotel Improvement District Refund Claim 
22-41Transient Occupancy Tax / Hotel Improvement District Return 
22-40Transient Occupancy Tax Exemption Certificate 
22-83Transient Occupancy Tax Questionnaire 
22-65Transient Occupancy Tax Registration Certificate 
66-92Transportation Corridor Agencies Residential Fee Determination 
41-34Transportation Corridor Major Thoroughfare and Bridge Fee Program 
40-66ATree Removal Permit Application 
40-66Tree Removal Permit Information Sheet 
40-10University Research Park Circulation Impact Fee Information Sheet 
43-44BUse Determination Information Sheet 
43-44CUse Determination Letter Class & Instructor Template 
22-81User Utility Tax - Annual Payment Agreement 
22-67User Utility Tax - Single Payment Option Form 
66-90User's Guide to Automated Inspection Request System 
22-80Utility Information Form 
22-86Utility User's Registration Form 
22-84Utility User's Tax Return 
41-98Variance Information Sheet 
23-20WVendor Registration
08-01Video Authorization, Waiver and Release 
74-01Volunteer Application - Community Emergency Response Team (CERT) 
55-31Volunteer Driver Disclaimer, Waiver & Indemnification 
50-10Volunteer Registration 
58-37Wall of Recognition Nomination 
66-138Water Conserving Plumbing Fixture Certification 
71-55What About My Complaint? 
50-54Winter Sports Primary Users Request & Fall Sports Post Season Request Form 
43-02Wireless Communications Facility Permit Information Sheet 
52-67X-Cursion Camp Parent Permission/Medical Form 
53-09Youth Action Team Participant Permission/Emergency Form 
54-34Youth Employment Services Registration Card 
54-69Youth Employment Services Registration Form 
58-31Youth Program Rules & Behavior Policy 
58-22Youth Program Rules & Behavior Policy 
58-25Youth Programs Volunteer 
57-38Youth Volunteer Application 
58-24Youth Volunteer Application Request 
41-97Zone Change Information Sheet 
43-48Zoning Confirmation Letter