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Two-Hour Service Permit Application
Two-Hour Service Permit Application
Name of Department
(Required)
Department Head/Chariman
(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 two hour service permits are requested?
(Required)
Please provide a detailed reason for the use of the additional permit(s), stating reasons why the U-Bus and RU-Bus are not sufficient to meet the needs of your department.
(Required)
Method of Payment
(Required)
Check
Credit Card (Visa/Mastercard/Discover)
Direct Transfer
PSoft Number
(Required)
Departments paying by Direct Transfer will be processed within 72 hours after the date of services and reflected in the monthly Customer Billing management (CBM) notification. Services paid for by credit card will be billed after the date of services.
Service Permit Restrictions and Guidelines
(Required)
I have read the guidelines and restrictions
I understand that the department will be charged the
current annual rate
for each two hour service permit issued and that my department is guaranteed only the number of two hour service permits approved for the year. I also understand that any additional permit requests must be submitted in writing to Transportation and Parking and must be approved by Transportation and Parking before payment is sent. If the permit(s) is misused, it may result in fines, penalty or revocation of the permit.
Use of the two hour service permit(s) is restricted to University employees executing repairs, attending meetings, or performing management functions which require two hours or less to complete and take employees away from their primary functions. These permits are not intended for use at or near primary work locations except for loading/unloading purposes. These permits are not to be used as a supplement for prime parking. I agree to contact the Transportation and Parking Office 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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