This form may be submitted by the department head or authorized designee only. Void requests for citations issued against this permit must come from the pre-designated department contact.

Campus regulations state that departmental meter use permits may not be purchased for the exclusive use by individual faculty or staff.

Department Information:

Department Name  

Campus Address    

Organization Code  

Department Head

Last Name:    

Last Name:    

Email Address:    

Meter Permits Requested ($1,980 annually per Meter Permit; July 1 - June 30)

Number of Permits CFOAP

Special Request Notes:

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