G-number: *

Permit Number: *

First Name: *

Middle Initial:

Last Name: *

Email: *

Phone: *

Address 1 *

Address 2

City *

State/Province *
- Select State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Afr/Can/EU/ME Armed Forces Americas Armed Forces Pacific Baker Island California Colorado Connecticut Delaware Federated State of Micronesia Florida Georgia Guam Hawaii Howland Island Idaho Illinois Indiana Iowa Johnston Atoll Kansas Kentucky Kingman Reef Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Navassa Island Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Palmyra Atoll Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory of Pacific Utah Vermont Virgin Islands Virginia Wake Island Washington Washington D.C. West Virginia Wisconsin Wyoming

Zip/Postal *

Semester: *
- Select Option Fall Winter Spring/Summer

Year: *
- Select Option 2025 2024 2023 2022 2021

Total Amount Charged *

Total Amount of Reduction Requested *

Reason for Requesting Reduction *

If you are intending to appeal a parking violation, please visit the Parking Violation Appeal webpage:
Parking Violation Appeal

By checking this box you acknowledge you are appealing a parking permit charge and not a parking violation. *
I understand