Application For Parking

Note: All fields in bold are required to submit the form.

 

 

Date:
Last Name:
First Name:
Position/Title:
Department:
Phone#:
E-mail:
Employee Of: KUSM-W (State employee)
MPA
Resident
WCGME
KUEA
Application Type: New Application
Renewal Application
Permit Request: Tan (Cost: $100.00 staff/faculty; $85.00 students/residents)
Orange (Cost: $55.00 staff/faculty; $35.00 students/residents)
Motorcycle (Cost: $40.00; You must also select tan or orange)
Payment Method: Cash
Payroll Deduction (State employees only)
Number of Permits Requested:

(If more than 2 permits are requested there will be an additional charge of $1.00 per permit.)

View Parking Policies

By clicking the submit button you are creating a digital signature
and agreeing to the terms and conditions of this application.

 

 
 
For more information contact:
 Facilities Management Home | Forms | Housekeeping
Motor Pool | Parking | Policies | Safety | Services
Online work request | Campus security reports Site questions and comments, contact:
 Educational Technology
 

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Last Modified: April 29, 2008
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