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2. Flock ALPR camera as seen in Town
   

3. Los Altos Hills residents may opt-out their vehicle's license plate from the Flock ALPR system if desired. Residents must submit proof of vehicle registration to an incorporated Los Altos Hills address to be eligible for the opt-out program. Opting out of the ALPR system stops vehicles from being tracked by the Town's ALPR system. The opt-out list is voluntary for Town residents.  

   **Please note that that the opt out list applies to license plates, not vehicles. If an opted out license plate is transferred to a different vehicle, the opt out will automatically apply to the receiving vehicle and the donor vehicle will no longer be opted out (since it will no longer have the opted out license plate).

   If there are any questions regarding this form, please contact Town Management Analyst, Cody Einfalt at ceinfalt@losaltoshills.ca.gov

5. First Name*

   Name of individual completing form

6. Last Name*
8. Email Address*
9. Phone Number*

   example: 650-941-7222

11. Los Altos Hills Street Address*
12. Name on Vehicle Registration

    If different than person completing form

    
    

16. Instructions: Please use the fields below to input vehicle information.
18. Vehicle #1 Make & Model*

    example: Toyota Camry

20. Picture of Registration for Vehicle #1*

    Please upload a picture of the vehicle's registration indicating Los Altos Hills address

22. Vehicle #2 Make & Model

    example: Toyota Camry

24. Picture of Registration for Vehicle #2

    Please upload a picture of the vehicle's registration indicating a Los Altos Hills address

26. Vehicle #3 Make & Model

    example: Toyota Camry

28. Picture of Registration for Vehicle #3

    Please upload picture of the vehicle's registration indicating a Los Altos Hills address

30. Vehicle #4 Make & Model

    example: Toyota Camry

32. Picture of Registration for Vehicle #4

    Please upload picture of the vehicle's registration indicating a Los Altos Hills Address

34. Vehicle #5 Make & Model

    example: Toyota Camry

36. Picture of Registration for Vehicle #5

    Please upload picture of the vehicle's registration indicating a Los Altos Hills Address

38. Please Note:

    To register more than 5 cars, please submit form again with remaining vehicles. 

40. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
42. Electronic Signature
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field