THIS FORM MAY BE SUBMITTED BY THE DEPARTMENT HEAD OR AUTHORIZED DESIGNEE ONLY.
Please be aware each Day Meter Permit is valid for one calendar day.
Department Information
Department Name *
Campus Address * Mail Code *
Organization Code *
Department Head
Last Name: * First Name: * Mr. Mrs. Ms. Dr.
Contact
Email Address: * Phone: *
Day Meter Permits Requested
Number of Permits: *
Special Request Notes:
By clicking ACCEPT, you are agreeing to the fees, associated rules & regulations, and submitting the Day Meter Permit request to the Parking Department.