Irvine, CA · Orange County

No notary required

Hotel Extended Stay Contract Transmittal Form

Hotel operators use this form to report extended stay contracts to the City of Irvine when an establishment opens or a contract starts or ends.

What this form is

This form lets hotel operators report whether their establishment has extended stay contractual arrangements relevant to the City of Irvine Municipal Code, and list the businesses involved. The city requires it upon establishment inception, when a new contract begins, or when an existing contract ends. Operators with such contracts must attach copies; operators without them answer “NO.”

Who needs it

Hotel operators must complete the form when their establishment begins, a new extended stay contract starts, or an existing contract ends.

How to submit it

Sign and date the completed form, then submit it by mail to Finance/Treasury, P.O. Box 19575, Irvine, CA 92623-9575; fax to 949-724-6030; or email [email protected].

About notarization

This form is signed and dated without a notary; the signer also declares under penalty of perjury that the statements are true, and copies of contracts are attached when applicable.

How to submit this form

  1. 1

    Download The Form

    Download the Hotel Extended Stay Contract Transmittal Form.

  2. 2

    Complete The Form

    Enter the establishment name and address, transient occupancy certificate number, and whether extended stay contractual arrangements exist.

  3. 3

    Gather Contract Copies

    If the establishment has extended stay contracts, list the businesses and attach copies of the contracts.

  4. 4

    Sign And Date

    Sign and date the form and make the declaration included on the form.

  5. 5

    Submit To The City

    Send the completed form by mail, fax, or email to the City of Irvine Finance/Treasury.

Frequently asked questions

Do I need a notary for the Hotel Extended Stay Contract Transmittal Form?
No. Sign and date the form without a notary. The signer declares under penalty of perjury that the statements are true; attach copies of contracts when applicable.
How do I submit the Hotel Extended Stay Contract Transmittal Form?
Submit it by mail to Finance/Treasury, P.O. Box 19575, Irvine, CA 92623-9575; fax it to 949-724-6030; or email [email protected].
When must a hotel operator complete this form?
Complete it upon inception of the establishment, commencement of a new contract, or termination of an existing contract.
What should I include if my establishment has extended stay contracts?
Answer YES, list the businesses with extended stay contractual arrangements, and attach a copy of each contract. Additional pages may be used if necessary.

Need something notarized?

This Hotel Extended Stay Contract Transmittal Form doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.