Parking Permit Application Form

							  Parking Permit Application Form
  Location              Gilmorehill Staff £180         /    Garscube Staff £125 / Garscube Student £108
  (delete as            2012/2012 Rates
  appropriate)          (note: Garscube Permits are not Valid at Gilmorehill)
  Status                Staff No. *                              Student No.

                        Other if other please state role:
  Name
  Home Address


  Post Code
  Job Title
  School/Service                                                                     Tel
  Disabled               Yes/ No      If yes proof required e.g.copy o regional badge to be attached
  Vehicle Type          Car / Estate / Van/ Motorcycle / Scooter
  Registration                                                   Colour
  Make                                                           Model
* Please note staff numbers are required for honorary/affiliate. You must be registered on the HR system by your College.

                                                 Complete either A or B
  A. Honorary Staff /Payroll Agency/ Garscube Student only - Payment by Cheque
       I will pay by cheque.
  You will be contacted when a permit is available with details of the payment for the session. You are required
  to re-apply annually. Payroll Agency may also opt to pay by mandate but are not eligible for Parking Plus.

  B. Payment by Payroll Mandate (Employees/Payroll Agency Only)
       I will pay by Payroll Mandate
  Your permit will be automatically renewed. You are required to notify Central Service of any vehicle changes
  as they arise using the web form. You will be notified of any annual increase to the parking fee. At any time
  you may cancel your permit by completing the termination form on the central services website.
  University of Glasgow Staff – will be automatically included in Parking Plus. By participating in Parking Plus
  you are agreeing to reduce your contractual salary by an amount equivalent to the monthly cost of the parking
  permit. This arrangement allows you to make Tax and National Insurance savings. By participating in
  Parking Plus you are agreeing to a change in your contractual terms and conditions of employment.
  I authorise the University of Glasgow to reduce my monthly salary by an amount equal to the monthly
  Parking fee until further notice in return for a Parking Permit. I accept that this is a change to my
  terms and conditions of employment*. More information www.gla.ac.uk/services/benefitsplus/parkingplus/
  Payroll Agency - I authorise the University of Glasgow to deduct from my salary the Parking fee by
  instalments until further notice.
  I give authority for the amount of the deduction to be varied and shall be notified of any changes in
  advance of this on the payslip message or via email by Central Services.

  Signature                                                                       Date


  For Office Use Only
   Permit Number             Valid From                    Date to Payroll (Mandates       CS Authorised by
                                                           Only)




                                       Regulations www.gla.ac.uk/services/central/
                              Possession of a permit does not guarantee a parking space
           Please return completed form to: Central Services, Main Gatehouse, University Avenue
                                                                                                                V8 July 2011