see PARKING
PERMIT REQUEST FORM
Public Safety will issue up to two decals per person only with proper see 10, valid AZ vehicle
registration,
and proof as insurance, as described in the MeeeD Parking Regulations.
Public Safety can issue a temporary
permit if your vehicle has a temporary
driving a rental/temporary
All information
vehicle.
requested must be provided and verified to review eligibility.
Last Name:
_
First Name:
_
Dept.
_
Vehicle Make, Model, Year
AZ plate#
plate or if you are
_
_
Decal#
_
Issued by:.
_
I acknowledge that I have read and understand the MeeeD Parking Regulations, and also
understand that I am responsible for properly displaying the permit decal (hanger or sticker)
in my vehicle any time I am using a staff parking space.
Signature:
Date:
_
_