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