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Coordinator Affidavit
Coordinator Affidavit
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*
" indicates required fields
Parking Coordinator Affidavit
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I agree
I hereby certify that below listed parking permit for UNC-CH has not been turned in to me upon termination of the employee.
I understand that my signature on this affidavit authorizes Transportation and Parking to place the permit on a TOW LIST. As a result, the permit can now be reassigned from my allocation, as my department needs it.
Employee Information
Name
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PID Number
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Zone
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Permit/Gate Card Number
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Coordinator Information
Coordinator Name
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Phone Number
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Email Address
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Department
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Department or PSoft Number
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Today's Date
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MM slash DD slash YYYY
Additional Notes (Optional)
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