Fillable Parking Permit Vehicle Registration (Central Connecticut State University)

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Parking Permit Vehicle Registration (Central Connecticut State University)

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The Parking Permit Vehicle Registration (Central Connecticut State University) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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CENTRAL CONNECTICUT STATE UNIVERSITY
VEHICLE REGISTRATION / PARKING PERMIT
Name:
Last Name First Name MI
Address:
City State Zip Code
Home Phone: ( ) Cell Phone: ( )
VEHICLE #1
Make: Model:
Body Type: Color:
License Plate:
State License Number
VEHICLE #2
Make: Model:
Body Type: Color:
License Plate:
State License Number
I certify that this information is true and that I am responsible for reporting any changes. I
agree to abide by the CCSU Parking Regulations. I understand that I will be held
responsible for any violations issued to any vehicle displaying the permit issued to me.
Signature Date
FOR HUMAN RESOURCES USE ONLY
BANNER ID:
___ Permanent Faculty / Staff
___ Part-Time Faculty / Staff End Date:
HR Representative Signature
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Parking Permit Vehicle Registration (Central Connecticut State University)

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Completed 21 July 2020

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