University Parking Permit - Vehicle Registration Form

Cash/Check payments can be made in Student Development (Stover 3rd Floor) during regular business hours. Your Parking Permit will be delivered to your campus mailbox or employee office following proof of payment.

Name Name First Last
University Email Address
Driver License Number
Driver License State
Upload Driver License Image [photo, address, and license number must be clearly visible]
Upload Vehicle Photograph [rear view - license plate must be clearly visible]
Type of Parking Pass
Cell Phone Cell Phone - ### - ### ####
Building and Extension (Faculty/Staff/Administration)
Residence Hall (Resident Student)
Residence Hall Room Number
Home Address (Commuter Student) Home Address (Commuter Student)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone - ### - ### ####
Registered Vehicle Owner Name
Manufacturer
Model
Color
Year
License Plate Number
State
It should be noted that obtaining the permit does not guarantee availability of spaces. Vehicles must be parked in a lot approved for the displayed permit. Resident students must park in their designated residence hall parking lot. Failure to comply may result in a citation. (Contact the Department of Public Safety if you have questions regarding parking on campus)