PARKING PERMIT AND/OR IDENTIFICATION CARD REQUEST FORM
Section 2 Parking Permit Section 1 ID Card Only
COMPLETE SECTION 1 FOR ID CARD ONLY
Last Name __________________________________________________________
First Name __________________________________________________________
Colleague No. Date of Birth
Check Which Applies
Student Faculty Staff Vendor (non-Durham Tech employee)
COMPLETE SECTIONS 1 AND 2 FOR PARKING PERMIT
License Plate Number _____________________ State
Vehicle Owner __________________________________________________
Address _______________________________________________________
Do you have a Handicap Parking placard? Yes No
(If yes, please present your state-issued handicap registration card for verification and computer entry)
Vehicle Description: Year, Make, Model, Body Style, and Color
____________________________________________________________________
PARKING PERMIT AND/OR IDENTIFICATION CARD REQUEST FORM
Section 2 Parking Permit Section 1 ID Card Only
COMPLETE SECTION 1 FOR ID CARD ONLY
Last Name __________________________________________________________
First Name __________________________________________________________
Colleague No. Date of Birth
Check Which Applies
Student Faculty Staff Vendor (non-Durham Tech employee)
COMPLETE SECTIONS 1 AND 2 FOR PARKING PERMIT
License Plate Number ______________________ State
Vehicle Owner __________________________________________________
Address _______________________________________________________
Do you have a Handicap Parking placard? Yes No
(If yes, please present your state-issued handicap registration card for verification and computer entry)
Vehicle Description: Year, Make, Model, Body Style, and Color
____________________________________________________________________
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