Temporary Parking Permit Request Form printable pdf download

Temporary Parking Permit Request Form

Please return completed form to SUPD via interoffice mail Attn: Karina Bordas, via email

to kbarr@shepherd.edu, or in person during business hours.

Employee Name _________________________________________________________________________________

Department _________________________________________

Extension____________________________

Visitor Information

Name ____________________________________________________________________________________________

Address _________________________________________________________________________________________

__________________________________________________________________________________________________

Vehicle Make __________________________________

Vehicle Model _________________________________

License Plate Number _____________________________

State _________________________________________

Purpose of Visit

__________________________________________________________________________________________________

Length of Stay ___

/____

/________ to __

_/___

_/________

Parking Pass Delivery Preference (check one): _______ interoffice mail _______pick up at SUPD

All temporary parking pass requests must be made no less than 2 business days prior to visitor arrival. Passes can be

sent via interoffice mail or picked up in office during business hours.

Forms must be complete for processing.

Passes are to be hung from the rearview mirror of the vehicle facing out and parked in the indicated area.

If a visitor fails to register his vehicle he may receive a parking citation.

Temporary Parking Permit Request Form