Shuttle Pass Number:
Customer Number:
BRONZE SHUTTLE PASS APPLICATION
INACCURATE OR INCOMPLETE INFORMATION COULD DELAY THE ISSUANCE OF YOUR PASS
(PLEASE PRINT LEGIBLY)
NAME
_____________________________
LAST
___________________________ EMPLOYEE ID NUMBER ______________________
FIRST
CAMPUS PHONE __________________________________
CAMPUS EMAIL ____________________________________________
HOME ADDRESS _________________________________________________________________________________________________
NO.
STREET
CITY
STATE
ZIP
IMPORTANT BRONZE SHUTTLE PASS POLICIES – PLEASE READ and CHECK EACH ITEM
☐ Shuttle pass required for Bronze shuttle riders
☐ No service to the Medical Center Way
during peak periods (7:00-10:00 AM and 3:00-7:00
PM)
“Loading Dock” stop.
☐ Pass required from Aldea and Surge/Woods to
Parnassus: 7am to 10am.
☐ Pass required from Parnassus to Aldea and
Surge/Woods: 3pm to 6:30pm.
☐ One shuttle running every 15 minutes from
7am to 10am, and every 20 minutes from 10am to
6:30pm.
☐ No service to School of Dentistry stop.
☐ ACC stop is for drop-off only; 7am to 10am.
☐ Library stop on Parnassus is for drop-off only;
10am to 6:15pm.
☐ LPPI stop is for boarding; no other stop allows
boarding.
☐ A $20.00 fee is assessed for passes that must be
replaced due to loss, damage (including
defacement), or are not returned. All lost passes are
reported to the Campus Police Department.
SHUTTLE PASS PRIVILEGES MAY NOT BE SOLD, LOANED OR TRANSFERRED TO OTHERS.
By submission of this application I agree to abide by the UCSF Transportation rules and regulations.
Signature _________________________________________________________ Date ______________________