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    

Organization Code  

Department Head

Last Name:    

Last Name:    

Email Address:    

Additional Citation/Tow List Authorization:

Last Name: First Name: Phone:

Last Name: First Name: Phone:

Last Name: First Name: Phone:

Lot Space CFOAP

Special Request Notes:

By clicking ACCEPT, you are submitting the Departmental Space Rental request to the Parking Department and agreeing to the associated policies and fees. You are also confirming that the Departmental Space Rental will not be for the exclusive use of faculty, staff, or student workers who should otherwise purchase an annual pass.