Student/Staff Gated Access Authorization Form

Green permit gated facilities require a Viking Card to scan in and out of the garages. Green permit holders that wish to identify themselves as a disabled patron can submit the webform below or download and submit the Gated Facility Access Request Form. Applicants must submit a copy of their Disabled Placard and Certificate of Registration. Once the form is completed, and the Viking Card enabled for override access, disabled patrons will be able to scan into gated facilities when they are full to check for an open disabled space. Please note that when a facility is 'full' but there are open parking spaces, those spaces are likely reserved for CSU guests or a special event and should remain open.

Full Name

CSU ID Number

Email Address

Phone Number

Copy/Photo of ADA Certificate of Registration

Please upload a copy or photo of the ADA Certificate of Registration.
One file only.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Disabled Placard Number

Copy/Photo of Disabled Placard

Please upload a copy or photo of your disabled placard.
One file only.
8 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Disabled Placard Issuing State

Disabled Placard Expiration Date

Type of Permit Purchased

(Green, White, or Prospect)

Term/Semester Needed

Registrant Authorization

The undersigned hereby acknowledges and understands the rules and policies of CSU Parking Services and that access to gated facilities is granted through your Viking Card. In addition, registrant understands they should park in disabled spaces with their disabled placard displayed and their license plate registered to a valid permit. You understand that permits are virtual and the vehicle’s license plate must be visible from the drive aisle.