UMF Parking Permit Application

Parking Permit Application
All information provided to the Department of Public Safety/Campus Police is strictly confidential.
Full Legal Name*

First nameMiddle nameLast Name
Email*
example@maine.edu
Preferred Name
Home/ Legal Street Address*
Apartment/Unit #
City*
State*
Zip Code*
Local Address*
Residence Hall / Office Location or Rental Address
#*
Dorm Room / Office # or Apartment/ Unit
Cell Phone*
Home Phone
Date of Birth*

MonthDayYear
Date
Are you a Veteran or Active-Duty Service Member?*

YesNo
Emergency Contact
Name
Phone
Emergency Contact
Name
Phone
Decal Type*

Resident First Year (Freshmen)Resident (Sophmore, Junior, Senior)CommuterGraduate StudiesEarly CollegeGold LeafVendorFaculty Staff
Vehicle Registration Information

Vehicle 1
State*
Plate Number*
Model Year*
Color*
Make (brand)*
Model (product)*
Vehicle Registration Information

Vehicle 2
State
Plate Number
Model Year
Color
Make (brand)
Model (product)
The parking permit is issued to me for my personal use, and it is my obligation to ensure that it is displayed properly atall times. Further, / accept that knowledge of parking rules is my responsibility (the rules can be found on the University website, in the Public Safety Parking Brochure, and/or by contacting the Campus Police Department), and that information relating to my driving/parking privileges will be stored in the police database. / understand that possession of a parking permit does not ensure that there will be a parking spot available. / also understand that any vehicle connected to me as listed on this form, displaying a permit assigned to me. registered with a state in my name, or that / drive onto the campus is subject to being cited and possibly impounded, towed, and stored at my expense when found in violation. Importantly, the University assumes no responsibility for the care and/or protection of vehicles or their contents while operated or parked on University property. nor does it have any responsibility for damage to my vehicle when parked on University property or while being towed. immobilized or stored.
Signature*
Date*

MonthDayYear
Date
Payment and Delivery
The UMF Parking Decal/Placard has a yearly cost of $20. A current decal/placard is required for all UMF parking lots, and is valid from August 1st through July 31st of the following calendar year. Please refer to the Parking Policy Brochure for further details. https://www.umf.maine.edu/publicsafety/parking/

Faculty, Staff, Vendors, Veterans and Active-Duty Service members, Early College, Graduate Studies, and Gold LEAF members are exempt from this specific fee collection process via Labor Contracts or due to other methods of prior fee collection.
Fees*

I authorize a $20 charge to my student account.I will mail a $20 check or money order, made payable to UMF.I will pay $20 in person (cash or check at the Public Safety Office).I am exempt from this fee as a Veteran or Active-Duty Military.I am exempt from this fee as a member of Graduate Studies.I am exempt from this fee as a member of Early College.I am exempt from this fee as a member of Gold Leaf.I am exempt from this fee as a member of Faculty.I am exempt from this fee as a member of Staff.I am exempt from this fee as a vendor.
Student Delivery Method*

Hold at the Public Safety/Campus Police Office for pickup.
Delivery Method*

Hold at the Public Safety/Campus Police Office for pickup.Campus Mail ServiceU.S. Mail to off campus address
Delivery Location*
US Mail Address*
Signature*
Should be Empty:

Parking Permit Application

Vehicle Registration Information

Vehicle Registration Information

Payment and Delivery