Jurupa Valley, CA · Riverside County

No notary required

Business Reinstatement Form

Businesses use this form to provide information and request reinstatement of a business registration in Jurupa Valley.

What this form is

This form is for a business seeking reinstatement of its Jurupa Valley business registration. The applicant completes all starred sections with business, ownership, contact, and registration details, selects a fee exemption option, and signs and dates the declaration. The form lists a $45 reinstatement fee and a $4 state CASp fee; payment does not itself approve the registration or authorize business operations.

Who needs it

A business seeking reinstatement of its Jurupa Valley business registration should complete the starred sections and provide the requested business and owner information.

How to submit it

Return the completed form to the address shown on it with a check payable to the City of Jurupa Valley. Credit card payments must be made in person at City Hall.

About notarization

This document is signed without a notary; the owner or representative signs and dates the declaration under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the Business Reinstatement Form for Jurupa Valley.

  2. 2

    Complete The Required Sections

    Complete all starred sections with the requested business, owner, and contact details, and select a fee exemption option.

  3. 3

    Sign And Date

    The owner or representative must sign and date the declaration under penalty of perjury.

  4. 4

    Submit The Form

    Return the completed form to the address shown with a check payable to the City of Jurupa Valley; pay by credit card in person at City Hall.

Frequently asked questions

Do I need a notary for the Business Reinstatement Form?
No. The owner or representative signs and dates the declaration under penalty of perjury; the form does not include a notary block.
How do I submit the Business Reinstatement Form?
Return the completed form to the address shown on it with a check payable to the City of Jurupa Valley. Credit card payments must be made in person at City Hall.
What information does the form ask for?
It requests business and owner details, contact information, registration identifiers, business activities, ownership type, employee count, and a fee exemption selection.
What fees are listed on the form?
The form lists a $45 reinstatement fee and a $4 state CASp fee, for a total of $49. It says accepting payment does not approve the registration.

Need something notarized?

This Business Reinstatement Form doesn’t need a notary — but if you have another Jurupa Valley form that does, a commissioned online notary can help.