Transit & Parking Services
Mailing: Dept. 4313 • 1000 E. University Ave. • Laramie, WY 82071
Office: Service Building, 14th and Lewis Street
Phone (307) 766-9800 • Fax (307) 766-3413 • Email: tps@uwyo.edu Website: www.uwyo.edu/tps
INFORMATION RELEASE FORM
Keeping your personal information secure is very important to us, and we understand that maintaining a good
balance is important to our customers as well. In order for us to maintain a good balance of confidentiality and
account access, we are requesting that this form be completed if you would like to allow other individuals access
to your account.
Please allow the following individuals to have access to my account:
Name Relationship
Name Relationship
Name Relationship
Name Relationship
The individuals listed above will have access to your account until you request their access be removed.
Do not allow anyone else access to my account.
Printed Name Signature Date
click to sign
signature
click to edit