Mailing Address:

County Property Address: 

Moped, Motorcycle or ATV Description

Vehicle 1

Vehicle  2

I have read and understand the Currituck County Beach Driving Ordinance (Chapter 10, Currituck County Code of Ordinances) as adopted and amended and have uploaded a copy of my insurance policy showing current liability coverage on the ATV(S).

By typing your name on this form it is the same as your signature.

This form will be submitted to Merrie Holcomb, County Receptionist.