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The parking permit and cancellation form must be received by Parking & Transportation
Services prior to office closing on the 5
th
business day of the month; otherwise, the month
will be considered used. Cancellation fees apply.
Please refer to the Refund Schedule for cancellation deadlines and amounts.
Personal Information
Surname Given Name Student # / Personnel #
Terms of Agreement
IF THE PARKING PERMIT IS NOT RETURNED,
PAYROLL DEDUCTIONS CANNOT BE STOPPED AND A REFUND CANNOT BE ISSUED
I HAVE returned my parking permit to the Parking Services office
Signature: Date:
For Office Use
Permit Type: Unreserved CCT P1 P5 Sessional
Resident Temporary Commercial Evening
Permit Number: ___________________Replaced By: ___________________________
Method of Payment:
Payroll Deduction Visa / MasterCard / Amex / Debit / Online
Internal Transfer (FIS) Department Debit Memo
Post-dated Cheques Other (please state):
Payroll Deductions will be stopped for the month of: _____________________ (photocopy for file)
Post-dated cheques were returned on: __________________________________________
A credit of $__________________ was issued to the client. Slip # / Chq # / Online ______________
Debit Memo refund: UTMP # ____________________
Notes ______________________________________________________________________________
____________________________________________________________________________________
Parking Rep. _________________________________ Date: _______________________________
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Print Form
Clear Form
PRESS FOR TODAY'S DATE
click to sign
signature
click to edit
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