Do I need a notary for this application?

No. Sign and date the application without a notary; first-time medical applications require a physician-reviewed affidavit signed under penalty of perjury.

How do I submit the RPP permit application?

Mail the completed form and required documents with a check or money order to In-Home Care Permits Customer Service, 1947 Center Street, 1st Floor, Berkeley, CA 94704, or apply in person there.

What documents must I include?

Include proof of residence in the RPP area, government-issued photo identification, and the documentation required for the care type, such as an affidavit or child birth certificates.

How many permits can an address receive?

The application allows up to three in-home care permits per address and one child care permit per address. Each annual permit expires June 30.

Berkeley, CA · Alameda County

No notary required

Residential Preferential Parking In-Home Care and Child Care Permit Application

Residents use this application to request Residential Preferential Parking permits for in-home care providers or child care providers serving children age 12 or younger.

What this form is

This application requests annual Residential Preferential Parking permits for in-home care providers or child care providers serving a minor age 12 or younger in an RPP area. It collects resident and address information and requires proof of residency, photo identification, and documentation for the care type. The form lists permit limits and fees; permits expire June 30 each year.

Who needs it

Residents in an RPP area who need parking permits for regular essential care or child care for a minor age 12 or younger should submit this application.

How to submit it

Submit the completed form and required documents by mail to In-Home Care Permits Customer Service, 1947 Center Street, 1st Floor, Berkeley, CA 94704, with a check or money order. In-person applications are accepted at the City of Berkeley Customer Service Center at that address.

About notarization

This application is signed and dated without a notary; first-time medical applications also require a physician-reviewed affidavit signed under penalty of perjury.

How to submit this form

1
Download The Application
Download the Residential Preferential Parking In-Home Care and Child Care Permit Application.
2
Complete The Form
Fill in the resident's name, address, ZIP code, RPP area, and phone number, then sign and date the application.
3
Gather Required Documents
Include proof of residency, government-issued photo ID, and documentation required for the care type.
4
Submit To The City
Mail the form and documents with a check or money order, or apply in person at the City of Berkeley Customer Service Center.

Frequently asked questions

Do I need a notary for this application?: No. Sign and date the application without a notary; first-time medical applications require a physician-reviewed affidavit signed under penalty of perjury.
How do I submit the RPP permit application?: Mail the completed form and required documents with a check or money order to In-Home Care Permits Customer Service, 1947 Center Street, 1st Floor, Berkeley, CA 94704, or apply in person there.
What documents must I include?: Include proof of residence in the RPP area, government-issued photo identification, and the documentation required for the care type, such as an affidavit or child birth certificates.
How many permits can an address receive?: The application allows up to three in-home care permits per address and one child care permit per address. Each annual permit expires June 30.

Need something notarized?

This Residential Preferential Parking In-Home Care and Child Care Permit Application doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.