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  2. Lost/Stolen Permit Form

Customer Information

Vehicle Information

Lost/ Stolen Information

Need Replacement Permit? (* required)

I agree to pay a $25.00 replacement fee via the online parking portal in order to receive my replacement permit.

Please write a brief statement on why permit was not returned

Please write a brief statement indicating if vehicle was entered/damaged and if anything else was taken from vehicle.

Replacement Permit Needed?

Agreement

I state that the information provided is true and accurate. I understand that the parking privilege is not transferable and the lost, stolen, or non-returned permit is not valid. Use of the permit could result in a $200 fine and towing of the vehicle. I agree to be governed by the provisions of the university parking regulations in the operation and parking of my vehicle.

Delivery Fee: $


Please provide email addresses for which you'd like to be included in your confirmation email. Separate each email address with a semicolon. (ex. jane.doe@yahoo.com; john.doe@gmail.com)
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