Visitor Parking Permit Application

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                                       Visitor Parking Permit Application
                                                              Number Issued ________________ thru ________________

Visitor parking permits are available to those who are visiting the campus for one day. Visitor Parking Permits are not
available for resident hall visitors, nor commuting students.

Visitor Permits are $1.00 each, and payment must be made at time of application. If you are mailing your application to
the University Police, please remember to allow enough time for the permit to be processed, and sent to the address you
have indicated. If you are requesting a visitor permit to be mailed to you, you must include a self-addressed, stamped
business size envelope.

Date of Application: _________________________ Number of Permits: ___________________________

    •   Will be picking the visitor parking permit up at office your visiting                         Yes         No 
    •   Will be picking up the visitor parking permit at University Police Office                     Yes         No 
    •   Request visitor parking permit be mailed – business sized envelope enclosed                   Yes         No 

Name: _________________________________________________________________________________

Address: _______________________________________________________________________________

City: ___________________________________ State: ____________ Zip:_________________________

Vehicle License Plate Number & State: #1____________________________________________________

Vehicle Description: #1 ___________________________________________________________________

Vehicle License Plate Number & State: #2 ____________________________________________________

Vehicle Description: #2___________________________________________________________________


Visiting Department/Individual/Class: _______________________________________________________

Building/Office/Class Location:_____________________________________________________________

If mailing your application, please send to:
  University Police 106 Royce Hall 1 University Plaza               Platteville, WI 53818
                                                         Office Use Only

Date received/issued:________________________________________

Date mailed:_______________________________________________

Payment received: Yes  No  Receipt #:___________________

                      Office of University Police & Parking    106 Royce Hall   608.342.1584   Fax: 608.342.1641

                                  1 University Plaza • Platteville, WI 53818-3099 •