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 agreeing to the fees, associated rules & regulations, and submitting the Departmental Space Rental request to the Parking Department.