APPLICATION for PARKING PERMIT & VEHICLE REGISTRATION
Welcome to the University of Hawai‘i. To park a vehicle on campus, the following are required to buy a permit:
• Your v
alid driver’s license
• Current vehicle registration
• Owner’s waiver (if driver is different from vehicle owner)
• Completed parking permit application
• Verication of employment/enrollment
Bring everything and payment to UH HILO/Parking Ofce, Auxiliary Services Building #300, Room 101,
200 W. Kawili Street, Hilo, HI 96720-4091. Parking permits are issued on a rst come, rst served basis.
VEHICLE(S) INFORMATION: List multiple vehicles If you have a motorcycle or convertible, check here O
LICENSE
PLATE #:............................................ YEAR:.............. MAKE: ................................. MODEL:................................ COLOR:....................
LICENSE
PLATE #:............................................ YEAR:.............. MAKE: ................................. MODEL:................................ COLOR:....................
LICENSE
PLATE #:............................................ YEAR:.............. MAKE: ................................. MODEL:................................ COLOR:....................
If you drive different vehicles, the permit can be transferred. Only one permit per person, per vehicle.
APPLICANT INFORMATION Please Print.
NAME: .................................................................................................................................. ID#: ............................................................
LAST NAME, FIRST NAME
MAILING
ADDRESS:.............................................................................................................................. PHONE#: ...................................................
STREET or P.O. NUMBER
CHECK ONE:.
.............................................................................................................................
OEmployee/Dept: .....................................
CITY STATE ZIP CODE O Student:
Requires proof of class registration.
Q Other:....................................................
PARKING CHOICE Mark your preference. Make check payable to UH-Hilo.
BLUE PERMIT: ......... General Parking Check One: O Semester - $15 O Year - $25
RED PERMIT: Preferred Parking Check One: O Semester - $35 O Year - $60
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Zone 2 Campus Center, Student Services Building, University Classroom Building, Bookstore
Zone 4 Old Gym, Music Department
Zone 5 College Hall, New Marine Science Building, Armory
Zone 6 Life Sciences, College of Agriculture, Science & Tech Building
Zone 7 College of Hawaiian Language
Zone 8 College of Pharmacy
“S”pecial (Medical: Requires proof of disability)
GREEN PERMIT: ......... Housing Parking (Dormitory residents ONLY) Semester only - $35
I agree to abide by the parking regulations of UHH. I certify that all of the above information is correct.
SIGNATURE: ........................................................................................................................................................... DATE: .................................................................................
PARKING OFFICE USE ONLY:
CATEGORY: Blue Green Red ZONE: ______________________ NUMBER: ________________ LENGTH: Fall Spring Year
D
ATE:__________________________________ AMOUNT: _________________________ Cash Check Charge RECEIPT: ________________________
INITIAL:________________________________ APP LAST NAME, FIRST INITIAL:____________________________________________________________________________