MOTORIZED BICYCLE (MOPED)
STATE OF CALIFORNIA
DEPARTMENT OF MOTOR VEHICLES
® INSTRUCTIONS/APPLICATION
A Public Service Agency
Please read all sections before completing application.
SECTION 1 — VEHICLE INFORMATION
VEHICLE IDENTIFICATION NUMBER ENGINE NUMBER MAKE CALIFORNIA LICENSE PLATE
MODEL DISTINCTIVE MARKS OR FEATURES
Mail completed application and the applicable fees (check or money order, please do not send cash) to:
Department of Motor Vehicles
Special Processing Unit - MS D238
P.O. Box 932345, Sacramento, CA 94232-3450
Original application for license plate and ID Card, complete Sections 1, 2 and 5.
Apply for duplicate ID Card and/or substitute license plate, complete Sections 1, 3 and 5.
Transfer ownership, complete Sections 1, 4 and 5.
SECTION 2 — ORIGINAL APPLICATION
An original application is one that is made if the vehicle has never been licensed in California (no California license plate or ID Card).
Answer the following questions “yes” or “no” to determine if your vehicle is a motorized bicycle (MOPED):
1. Two-wheel or three-wheel device? Yes No
2. Fully operative pedals for human power or powered solely by electrical energy? Yes No
3. Automatic transmission and a motor with less than 4 gross brake horsepower? Yes No
4. Maximum speed of 30 miles per hour on level ground? Yes No
If you answered “Yes” to all four questions, complete the application below, in the appropriate sections.
If you answered “No” to any of the questions, your vehicle is not a motorized bicycle as defined by the California Vehicle Code
§406. Complete Application for Registration (REG 343) to apply for appropriate registration.
TRUE FULL NAME OF OWNER(S) (LAST, FIRST, MIDDLE) DRIVER LICENSE/ID CARD NUMBER
AND
OR
ADDRESS COUNTY CITY STATE ZIP CODE
NOTE TO MOPED RETAIL SELLER: A statement of facts indicating that you are a retail seller of mopeds is required
with this application.
SECTION 3 — CHECK ONE: Substitute Plate Duplicate ID Card
Item(s) has/have been: (Please check one)
Lost/Stolen Destroyed/Mutilated Surrendered to DMV Not Received from DMV Not Received from Prior Owner
I have furnished the Department of Motor Vehicles with my correct address and will return or destroy the original
item(s), if received.
SECTION 4 — OwNERSHIP TRANSFER
The ID Card is the transfer document. If it is lost, complete Section 3, sign Release of Ownership section (SELLER Signs) and
have the new owner(s) complete the information in this section and sign on new owner signature line in Section 5.
RELEASE OF OwNERSHIP
I hereby release interest in the vehicle:
RELEASING SIGNATURE OF SELLER PRINTED NAME DATE
X
NEW REGISTERED OWNER(S) (LAST, FIRST, MIDDLE) DRIVER LICENSE/ID CARD NUMBER
AND
OR
ADDRESS COUNTY CITY STATE ZIP CODE
SECTION 5 — CERTIFICATION AND SIGNATURE(S)
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
DATE SIGNATURE OF NEW OWNER DAYTIME TELEPHONE NUMBER
X ( )
DATE SIGNATURE OF NEW OWNER DAYTIME TELEPHONE NUMBER
X ( )
REG 230 (REV. 1/2015) www
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