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PARKING APPLICATION

Affiliate/Vendor/Contractor

Instructions:

This form should be completed for CORPORATE, VENDORS and AFFILIATE employees only. Please submit your request five days in advance prior to needing the parking pass.

All prox cards must be returned to Parking Services upon resignations, terminations, etc. If access cards are not returned, a fee will be assessed to the account.

 

 

 

Staff Cash Parking
Payroll Deduction
Corporate/Affiliate

Vendor
     Company


First Name: Last Name:
UCID/ M #

 


Address
Address: City:
State: Phone:
Zip Code:   

Non-University Department (send bill to):
Name:
Address: City:
State: Phone:
Zip Code:   
 
 

Parking Location:
     (Passes must be signed for and picked up by parker)

              Time pass is needed:    

              Date(s) pass is needed:

              Contact Person:    Phone 

Vehicle 1
Plate: Color:
State: Make:
Year: Model:
Vehicle 2
Plate: Color:
State: Make:
Year: Model:

(PARKING PERMITS/DECALS OR ACCESS CARDS WILL NOT BE ISSUED WITHOUT COMPLETE LICENSE PLATE INFORMATION)

Comment's


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Public Safety
University of Cincinnati
Three Edwards Center
51 West Corry Street
PO Box 210215
Cincinnati, OH 45221-0215
Phone: 513-556-4900; Fax: 513-556-4940

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