THE
PARKING PERMIT APPLICATION
Type of permit
requested – check one only
Permit Price $50.00
Resident
Commuter
Graduate
Assistant
Motorcycle
Visitor
Clearly print current
information requested below:
Name:
_______________________________________________________________________
ID Number:
____________________ Birth Date: ___________________________________
Campus/Local
Information:
Address:
_____________________________________
Phone: __________ Cell:
__________
City:
Home Information:
Address:
_________________________________________________ Phone: _____________
City:
Vehicle Information:
___________________________________________________________________
*Plate # Plate Type State Make Model Style Color
___________________________________________________________________
*Plate # Plate Type State Make Model Style Color
Plate types refers to the
type of license plate. Examples include:
PC = Passenger Car CR = Conservation UM = UM
IMPORTANT
Be sure to read the information on the reverse
side. Sign the form, where indicated and
include payment.
Permit #: ________________
Date: __________________
Clerk: _________________
Cost: __________________
Cash: __________________
Check #: _______________
The
Please complete this application, read, and sign below.
Purchase in person at:
143 Memorial
CAMPUS
Submit with payment by mail to:
Parking and Transportation Services Office, Room 523
The
5702
Fines for any outstanding violations must be paid prior to
the issuance of a new permit. Questions
may be directed to the Parking and Transportation Services Office, 581.4047,
open
President’s Gold Card permits are issued for the exclusive use of the holder and are not therefore transferable. If the permit is found being used improperly the permit will be rescinded.
Responsibility Acknowledgement
I understand that:
• knowledge of
the parking rules is my responsibility and I agree to observe all of the
• if any of these rules are unclear to me, I should contact the Parking and Transportation Services Office for clarification prior to parking in a questionable place or manner.
• the permit issued to me is for my personal use and it is my obligation to see that it is properly displayed at all times.
• the permit remains the property of the University and that I am paying for the opportunity to park my vehicle on campus.
• any alteration to, or unauthorized use of, the permit is a violation that will be referred to the Department of Public Safety.
• any vehicle(s) connected to me by being listed on this form, displaying a permit assigned to me, registered with a state in my name, or that I drive to this campus is subject to being cited and possibly impounded, towed, and stored or immobilized at my expense when found in violation.
• lack of a convenient parking space is not a valid reason for parking in violation of the rules as stated on our website (umaine.edu/parking).
I agree to promptly pay fees for all citations received without further notice. I understand that an appeals process is available and I must file my first-step appeal within ten days of receiving the citation (see details - umaine.edu/parking).
I further acknowledge that the
Signature _____________________________________________________________________
Date _________________________________________________________________________