MOTORIZED BICYCLE (MOPED) REGISTRATION …

1 OHIO DEPARTMENT OF PUBLIC SAFETY. BUREAU OF MOTOR VEHICLES. MOTORIZED BICYCLE ( moped ) REGISTRATION APPLICATION. Please complete the boxes below. DATE SSN / TAX ID / OH DL / OH ID. PERSONAL INFORMATION. LAST NAME FIRST NAME MI. ADDRESS. CITY STATE ZIP CODE. PHONE E-MAIL DATE OF BIRTH. VEHICLE INFORMATION. YEAR MAKE MODEL VIN. WHAT IS A moped ? Not every vehicle that looks like a moped (also known as a MOTORIZED BICYCLE ) actually is a moped per Ohio law. The Ohio Revised Code ( ) and Ohio Administrative Code ( ) Chapter 4501-23 define a moped as any vehicle with two tandem wheels or one front and two rear wheels which is capable of being pedaled and is also equipped with a helper motor. The helper motor may not have a piston displacement of more than 50 cubic centimeters, produce more than one brake horsepower, nor propel the vehicle at a maximum speed greater than 20 miles per hour (mph) on a level surface.

2 If a vehicle exceeds any one of these criteria, it is legally a motorcycle. Your signature below and completion of this document legally affirms that your vehicle meets the performance and equipment requirements of Chapter 4501- 23 and that the vehicle meets the definition of a moped in Ohio. Contact the Ohio Bureau of Motor Vehicles, Vehicle Information Services, Box 16520, Columbus, Ohio 43216-6520, (614) 752-7800 or (800) 589-TAGS (8247), if you have questions. I affirm that the vehicle for which I am requesting a REGISTRATION (please check all boxes that apply): (1) has two tandem wheels OR has one wheel in the front and two wheels in the rear;. (2) may be pedaled; AND. (3) is equipped with a helper motor that: (a) has no more than fifty (50) cubic centimeters piston displacement; AND. (b) produces no more than one brake horsepower (This information can be found in your owner's manual or on your engine.)

3 ; AND. (c) is capable of propelling the vehicle at a speed of no greater than twenty (20) mph on a level surface WARNING: Knowingly making a false statement on this form constitutes falsification, a first degree misdemeanor punishable by criminal fines and imprisonment, and also may result in civil liability ( ). APPLICANT'S SIGNATURE DATE. X. BMV 4510 11/16 [760-1512].