James Madison University
 

Visitor Permit Request Form

Instructions:
Read through the instructions and complete all the information

All request data is mandatory, incomplete application will delay processing. Request must be submitted five (5) days prior to event.

Section I - To be completed with information about the person submitting the request.
An asterisk (*) indicates a required field.
* From Dept.
Org#
* Dept. Name
 
* Requestor MSC
 

* Requestor Name:

Last:

First:

MI:

* Requestor Phone Number:

  ( ) -

* Requestor E-mail Address:

 
* Reason Requested:
 
Section II - To be completed with information about the visitor.
An asterisk (*) indicates a required field.
       
Visitor #1

* Name:

Last:

First:

MI:

 
*Vehicle License Plate Number:
 
 
* Vehicle License State
 
 
* Date(s) Required:
 
       
       
Visitor #2

Name:

Last:

First:

MI:

 
Vehicle License Plate Number:
 
 
Vehicle License State
 
 
Date(s) Required:
 
       
       
Visitor #3
Name:

Last:

First:

MI:

 
Vehicle License Plate Number:
 
 
Vehicle License State
 
 
Date(s) Required:
 
       
       
Visitor #4
Name:

Last:

First:

MI:

 
Vehicle License Plate Number:
 
 
Vehicle License State
 
 
Date(s) Required:
 
       
       
Visitor #5
Name:

Last:

First:

MI:

 
Vehicle License Plate Number:
 
 
Vehicle License State
 
 
Date(s) Required:
 
       
       
Section III - Picking Up Permit(s) Information:
 
Do you want the permit(s) to be mailed to your department?
 

If not, please indicate the date that you would like to pick up the permit(s):
(Parking Services will contact you if the permits cannot be completed by the indicated date.)

 
 
Please review to be certain all necessary information has been completed correctly before submitting your request. Errors or omissions may cause an unnecessary delay in processsing your request.
JMU Division of Administration and Finance
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Purple Rule
 
      Publisher: JMU Office of Parking Services      Contact: Parking Services
      Last Revised : Monday, July 28, 2008