Parking Services

Department Orders

Special Permits, Token Notes (Kent Student Center), and Campus Maps Request Form

Please note: Visitor/One-Day permits and token notes will be increasing to $3 per day beginning June 1, 2013.

All unused permits must be returned within 30 days to receive full credit.

PLEASE ALLOW 24-48 HOURS FOR PROCESSING

Requesting Department Name:
Department Address:
Requesting Individual Name:
	Name of person submitting this permit request
Email Address:
	Required-Requesting Individual

Campus Phone Number:
	5-digit campus phone number Ex: 23456
Department's Banner Index Number to Charge:
	Required-This may be different from the department ordering permits
Banner Account Number to Charge:
	Required-Only change if a different account number should be used

Requested Lot/Event Location (For Token notes enter N/A):
How many permits are required?:

Beginning Date:	mm/dd/yy
Ending Date:	mm/dd/yy

How many Token Notes are required?:
How many maps are needed?:
Reason for request/Special Circumstances:

	I will pick up order.
	You will receive an e-mail when your order is ready to be picked up at the Parking Services Office.
	Please deliver order.
	Check this box if you want the permits delivered to you.