Irvine, CA · Orange County
Lobbyist Registration Report Notice of Termination
Lobbyists use this form to notify the City Clerk’s Office that a lobbyist registration is terminating and provide the required registrant and client information.
What this form is
This form files a notice of termination of a lobbyist registration with the City Clerk’s Office. It asks for the termination date, registrant lobbyist and applicable client information, including business contact details, plus the registrant’s signature, date, title, and lobbying firm name if applicable. Filing the notice does not relieve the registrant of reporting requirements for the reporting period in question.
Who needs it
A registrant lobbyist filing a notice to terminate a lobbyist registration with the City Clerk’s Office needs this form.
How to submit it
Complete the form to file the notice with the City Clerk’s Office. For questions, contact the office at 949-724-6205 or [email protected].
About notarization
This form is signed without a notary; the registrant signs and dates it and certifies the report under penalty of perjury.
How to submit this form
- 1
Download the Form
Download the Lobbyist Registration Report Notice of Termination PDF.
- 2
Complete the Form
Enter the termination date, registrant and applicable client details, business contact information, and registrant verification.
- 3
Sign and Date
The registrant signs and dates the report and certifies its information under penalty of perjury.
- 4
File with the City
File the notice with the City Clerk’s Office; contact the office by phone or email with questions.
Frequently asked questions
- Do I need a notary for the Lobbyist Registration Report Notice of Termination?
- No. The registrant signs and dates the form and certifies its information under penalty of perjury; the document has no notary block.
- What information does the termination notice ask for?
- It asks for the termination date, registrant lobbyist and applicable client information, business contact details, and registrant verification, including signature and date.
- How do I submit the Lobbyist Registration Report Notice of Termination?
- Complete the form to file it with the City Clerk’s Office. For questions, call 949-724-6205 or email [email protected].
Need something notarized?
This Lobbyist Registration Report Notice of Termination doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.