Employee Parking Permit Form

Employee First and Last Name
Job Classification
Do you wish to be on a wait list for an alternate lot?
If yes, indicate which lot you wish to be assigned to:
This is where you indicate where you would like your permit mailed. Permits will be available beginning July l, 2019. Fee will be paid by payroll deduction. By submitting this form, you are agreeing to a payroll deduction for the cost of your permit. You must display the 2019/20 staff reserved parking permit by the first day of the Fall 2019 semester. If you do not receive your permit, notify Natalia Slasten in the Accounting Office. You may be required to file a police report before being issued a replacement. Your permit may be mailed to your department, home, or P.O. Box.