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.

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