Virtual Permit Refund / Exchange Request Form

Full Name:

CSU ID:

Street Address:

City, State, and Zip:

Email Address:

Phone Number

Last Day on Campus

Please indicate the last day you will be parked on campus (MM/DD/YYYY).

Return Reason

Withdrew from Classes/University

Other

Other Reason:

Permit Number:

Valid Term of Permit:

Spring

Fall

Summer

Annual

Comments:

Return Procedure:

I understand that all permit returns are subject to a $15 administrative fee, except summer permits. Returned permits are not eligible for repurchase. If a permit is needed at a later time, you may select from the remaining available permits.

Refunds:

I understand all student refunds are posted to CampusNet and may be used to pay off a parking or university account balance. Faculty/Staff refunds will be issued via check through Accounts Payable.

Return Date:

I understand that my permit will be returned based on the date the "Refund Request" was submitted.