Exempt Reserved Space Application

Applicant Name *This question is required.

Title *This question is required.

Phone *This question is required.

Email *This question is required.

Department *This question is required.

Office Address *This question is required.

Department Head *This question is required.

Department Head Email *This question is required.

Budget Number *This question is required.

Campus Zip *This question is required. This question requires a valid number format.

Vehicle Make(s) *This question is required.

Vehicle Model(s) *This question is required.

License Plate(s) *This question is required.

Primary Vehicle Occupant *This question is required.

Primary Vehicle Occupant Email *This question is required.

Location of Reserved Space(s) *This question is required.

Total number of reserved spaces *This question is required. Note: Each space equals price of annual Gold permit This question requires a valid number format.

Use of a reserved space must be in accordance with the University of Idaho Parking Regulations.

Justification *This question is required. Please describe the frequency of use and purpose for the requested reserved space.

This exempt reserved space will be renewed automatically each year unless cancelled by your department. If you would not like to participate in the auto-renewal program please check the box below.

My department would NOT like to be enrolled in the exempt reserved space auto-renewal program.

Acknowledgement *This question is required.

I certify that the above information is true to the best of my knowledge. I understand that the department is responsible for the use of this reserved space. I further understand that it is the responsibility of the applicant and/or driver to read and follow all University of Idaho Parking Regulations.