Form Unregistered - Fill Out and Sign Printable PDF 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name and Address of Facility' at the top of the form. Ensure all details are accurate for proper identification.
3. Fill in the 'Date' and 'Name of Reporting Party' fields. You can add multiple reporting parties as needed, ensuring each entry is clear.
4. In the 'License Plate & Decal Number' section, input relevant information if applicable. This helps in tracking and verification.
5. Complete the 'Hauler’s Name/Address/Signature' section. Make sure to include your full address and sign where indicated.
6. For each tire entry, specify the 'Quantity & Type of Tires'. Select whether it's a pick-up or delivery by checking the appropriate box.
7. Indicate your status as an unregistered tire hauler or exemption status if applicable, selecting from the provided options.
8. Finally, review all entries for accuracy before submitting. Once completed, save your document and submit it within 30 days to CalRecycle.

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