Application for Temporary Retail Pick-Up Zone
Please fill out this form to apply for a 10-Minute Retail Pick-Up Zone parking sign(s) in front of your business.
Only retail stores are eligible for the program and may apply. Restaurants are not eligible through this program, but may apply at the following link:
All businesses must be within the City of Los Angeles.
We will notify you once your application has been approved.
Address Number & Street Name only.
Business Phone Number
Please use this format ###-###-####. This number MAY be released to the public.
Type of Business
Books & Music
Building & Garden Supply, Florists
Clothing & Clothing Accessories
Electronics & Appliances
Furniture & Home Furnishings
Health & Beauty
Sporting Goods, Toys & Hobbies
Number of Signs Requested
Currently restricted to one (1) due to high demand.
I am requesting a 10-minute Retail Pick-Up Zone due to:
Check all that apply
Limited or no onsite parking available
Existing street parking rules do not work for retail pickup
Limited parking availability in the area
Can we easily mount the sign(s) in front of the business?
Is there a sign post, parking meter post, street light post, tree, etc nearby?
No, please include a portable barricade for the sign. I agree to secure the barricade(s) when not in use.
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of City of Los Angeles.
Terms of Service