Bike size (inches):
Serial #:
Make:
Color:
Model:
Your (or a parent's) driver license or ID #:
First name:
Last name:
House No:
Street:
City:
State:
Zip Code:
FL
Phone number:
State issuing driver license:
Use of this form is limited to residents of the County of Palm Beach only.
The information on this form will assist the Sheriff's Office in identifying your bicycle in the event it is lost or stolen. If your bicycle is lost or stolen, report it to the Sheriff's Office immediately by calling the non-emergency number:
North/Central County: 688-3000 South County: 278-2644 West County: 996-1670
You can also register your bicycle by completing a paper Bicycle Registration Form at any Sheriff's Office Sub-station, or Satellite Office.
To Register:
Information will be electronically transferred to the Palm Beach County Sheriff's Office, Community Affairs Section.
Don't forget to print this form for your records before clicking the Submit button!
Copyright 2000, 2001 Palm Beach County Sheriff´s Office
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