Golf Cart Permit Application

Golf Cart Permit Application

Provide your contact details, golf cart and insurance information, then submit for police inspection and approval.
Applicant Information
Applicant Full Name

First NameLast Name
Mailing Address

Street Address

Street Address Line 2
CityStateZip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
Your permit approval will be emailed here.
Golf Cart & Insurance Information
Golf Cart Year
Make
Color
Power Type
Vehicle Identification Number
Insurance Company
Policy Number
Proof of Valid Liability Insurance

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Upload a copy of your driver's license or other photo ID

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Applicant Signature
Applicant Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Inspection Certificate — For Woodburn Police Department Use Only
I certify that I have inspected the described golf cart and that it is equipped as required by law under the City Ordinance 2009-34.
Officer Signature
Unit Number
Inspection Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Approved For
Inspection Result
Inspection Certificate — For City Hall Use Only
Decal #
Date of Issue

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Deputy Clerk Signature
Have all payments been received?
Should be Empty:

Applicant Information