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Official Visitor Permit Application
Official Visitor Permit Application
Department Name
(Required)
Department Head/Chairman
(Required)
Department CB#
(Required)
Department Parking Coordinator
(Required)
Coordinator Email Address
(Required)
Phone Number
(Required)
Action Requested
(Required)
Request new permit
Cancel permit
Cancel Permit
(Required)
Permit Number
Add
Remove
How many permits is your department requesting?
(Required)
Please explain the need for these permits (including why the Pay Operations Lots cannot meet this need). If more than one permit is requested, state the reason multiple permits are required.
(Required)
Official Visitor Permit Guidelines and Restrictions
(Required)
I understand
I understand that the department will be charged
the current annual rate
for each permit issued. If the permit(s) is misused, it may result in fines, penalty, or revocation. I agree to contact Transportation and Parking if the permit(s) is lost, stolen, or destroyed and understand that a replacement fee may be charged.
Permit Cancellation
(Required)
I understand
I understand the cancellation of the permit is effective the date of this form submission and that I am required to return the physical permit to Transportation and Parking by
mail or in person
. Use of the permit after submission of this cancellation form is a violation of the
Ordinance
. The cancellation submission date determines any refunds due.
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