| California State University,
Hayward Student Parking Permit Request Form |
Do not use this form if you plan to purchase your
parking permit at the same time as you pay your fees. Use the "Fees
Payment Worksheet" instead. |
| Complete this section only |
| I.D. #_____________________Name: ______________________________________________________ |
| |
(please print) |
Last |
First |
| Quarter: |
(Circle One) |
Fall |
|
Winter |
|
Spring |
|
Summer |
|
| |
If paying by check, make
checks payable to CSUH. Quarterly permits are $36 for an automobile.
Payments must be received in the Accounting Office by March 8
(for payment by check) and March 10 (for payment by cash at the Cashiers) for your parking permit to be mailed to you. |
| |
After March 10, purchase your
parking permit in person at the Cashiers’ Office (1st floor
lobby of Warren Hall). |
| |
This section for office use only:
|
Permit#______________________
Amount:___________Date:__________Receipt # ________________ |