Departmental Space Rental Request

This form may be submitted by the department head or authorized designee only.
Once a citation is requested, it is regarded as a valid citation and will not be voided.
Campus regulations state that departmental spaces may not be purchased for the exclusive use of a member of the faculty or staff.

Department Information

Department Name

Campus Address

Department Head

Last Name

First Name

Contact

Last Name

First Name

Email Address

Phone

Additional Citation/Tow List Authorization

Citation #1

Last Name

First Name

Phone

Citation #2

Last Name

First Name

Phone

Citation #3

Last Name

First Name

Phone

Lot Space Information

Lot Space 1

Lot 1

Space 1

Chart 1

Fund 1

Organization 1

Account 1

Program 1

Lot Space 2

Lot 2

Space 2

Chart 2

Fund 2

Organization 2

Account 2

Program 2

Lot Space 3

Lot 3

Space 3

Chart 3

Fund 3

Organization 3

Account 3

Program 3

Lot Space 4

Lot 4

Space 4

Chart 4

Fund 4

Organization 4

Account 4

Program 4

Lot Space 5

Lot 5

Space 5

Chart 5

Fund 5

Organization 5

Account 5

Program 5

Lot Space 6

Lot 6

Space 6

Chart 6

Fund 6

Organization 6

Account 6

Program 6

Lot Space 7

Lot 7

Space 7

Chart 7

Fund 7

Organization 7

Account 7

Program 7

Lot Space 8

Lot 8

Space 8

Chart 8

Fund 8

Organization 8

Account 8

Program 8

Special Request Notes

By clicking ACCEPT, you are agreeing to the fees, associated rules & regulations, and submitting the Departmental Space Rental request to the Parking Department.