Motorized Bicycle (Moped) Instructions/Application (REG 230) Instructions
This form contains 52 fields organized into 1 section. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Vehicle Identification Number | Text |
Enter the Vehicle Identification Number (VIN) of the motorized bicycle.
|
| Engine Number | Text |
Enter the engine number of the motorized bicycle.
|
| Make | Text |
Enter the make or manufacturer of the motorized bicycle.
|
| California License Plate | Text |
Enter the California license plate number for the motorized bicycle, if applicable.
|
| Model | Text |
Enter the model of the motorized bicycle.
|
| Distinctive Marks or Features | Text |
Provide a description of any distinctive marks or features of the motorized bicycle.
|
| Original application for license plate and ID Card | Checkbox |
Check this box if you are submitting an original application for a license plate and ID card, and have completed Sections 1, 2, and 5.
|
| Apply for duplicate ID Card and/or substitute license plate | Checkbox |
Check this box if you are applying for a duplicate ID card or a substitute license plate, and have completed Sections 1, 3, and 5.
|
| Transfer ownership | Checkbox |
Check this box if you are transferring ownership of the vehicle, and have completed Sections 1, 4, and 5.
|
| Question 3 No | Checkbox |
Check this box if your vehicle does not have an automatic transmission and a motor with less than 4 gross brake horsepower.
|
| Question 4 No | Checkbox |
Check this box if your vehicle's maximum speed is not 30 miles per hour on level ground.
|
| Question 4 Yes | Checkbox |
Check this box if your vehicle has a maximum speed of 30 miles per hour on level ground.
|
| Question 2 No | Checkbox |
Check this box if your vehicle does not have fully operative pedals for human power or is not powered solely by electrical energy.
|
| Question 3 Yes | Checkbox |
Check this box if your vehicle has an automatic transmission and a motor with less than 4 gross brake horsepower.
|
| Question 1 No | Checkbox |
Check this box if your vehicle is not a two-wheel or three-wheel device.
|
| Question 2 Yes | Checkbox |
Check this box if your vehicle has fully operative pedals for human power or is powered solely by electrical energy.
|
| Question 1 Yes | Checkbox |
Check this box if your vehicle is a two-wheel or three-wheel device.
|
| Owner Name AND | Checkbox |
Check this box if there are multiple owners and their names should be joined by 'AND'.
|
| Owner Name OR | Checkbox |
Check this box if there are multiple owners and their names should be joined by 'OR'.
|
| Owner's Full Name | Text |
Enter the true full name of the owner(s) (last, first, middle).
|
| Driver License or ID Card Number | Text |
Enter the owner's driver license or identification card number.
|
| Address | Text |
Enter the street address of the owner.
|
| County | Text |
Enter the county of the owner's address.
|
| City | Text |
Enter the city of the owner's address.
|
| State | Text |
Enter the state of the owner's address.
|
| Zip Code | Text |
Enter the zip code of the owner's address.
|
| Substitute Plate | Checkbox |
Check this box if you are requesting a substitute plate.
|
| Duplicate ID Card | Checkbox |
Check this box if you are requesting a duplicate ID card.
|
| Item Lost/Stolen | Checkbox |
Check this box if the item(s) has/have been lost or stolen.
|
| Item Destroyed/Mutilated | Checkbox |
Check this box if the item(s) has/have been destroyed or mutilated.
|
| Item Surrendered to DMV | Checkbox |
Check this box if the item(s) has/have been surrendered to the Department of Motor Vehicles (DMV).
|
| Item Not Received from DMV | Checkbox |
Check this box if the item(s) has/have not been received from the Department of Motor Vehicles (DMV).
|
| Item Not Received from Prior Owner | Checkbox |
Check this box if the item(s) has/have not been received from the prior owner.
|
| Seller's Printed Name | Text |
Enter the printed full name of the seller who is releasing interest in the vehicle.
|
| Seller's Signature Date | Date |
Enter the date the seller signed to release interest in the vehicle.
|
| New Owner Name AND | Checkbox |
Check this box if there are multiple new registered owners and their names should be joined by 'AND'.
|
| New Owner Name OR | Checkbox |
Check this box if there are multiple new registered owners and their names should be joined by 'OR'.
|
| New Owner's Full Name | Text |
Enter the true full name of the new registered owner(s) (last, first, middle).
|
| New Owner Driver License or ID Card Number | Text |
Enter the new owner's driver license or identification card number.
|
| New Owner Zip Code | Text |
Enter the zip code of the new owner's address.
|
| New Owner State | Text |
Enter the state of the new owner's address.
|
| New Owner City | Text |
Enter the city of the new owner's address.
|
| New Owner County | Text |
Enter the county of the new owner's address.
|
| New Owner Address | Text |
Enter the street address of the new owner.
|
| New Owner 1 Signature Date | Date |
Enter the date the first new owner signed the certification.
|
| New Owner 1 Daytime Telephone Area Code | Text |
Enter the area code for the first new owner's daytime telephone number.
|
| New Owner 1 Daytime Telephone Number | Text |
Enter the remaining digits for the first new owner's daytime telephone number.
|
| New Owner 2 Signature Date | Date |
Enter the date the second new owner signed the certification.
|
| New Owner 2 Daytime Telephone Area Code | Text |
Enter the area code for the second new owner's daytime telephone number.
|
| New Owner 2 Daytime Telephone Number | Text |
Enter the remaining digits for the second new owner's daytime telephone number.
|
| click here to print | Button | |
| click here to clear form | Button |