Departmental Paid Parking Fees Authorization Form

Departmental Paid Parking Fees Authorization Form

Administrator's Information (Not Parker)

First Name: *

Last Name: *

E-mail: *

Parker Information

First Name: *

Last Name: *

SSN (last 4 digits): *

E-Mail: *

Columbia Information

Title: *

Department: *

FAS A/C Number to be charged: *

: *

Note: Garage rent cannot be charged to certain grant accounts, (i.e, FAS A/C beginning with 5 -, 6 - 40 or 6 - 5).

Please explain why the department is paying for the parker: *

Parking paid by the department is considered additional compensation for a University employee.

Parking Requirements

Parking Periods: *

Full-time

Semester

Effective Date:

Semesters:

Fall

Spring

Summer

Parking Charge: *

Monthly (billed on a quarterly Basis)

Semester

DAF Information

DAF Full Name: *

DAF Title: *

DAF Department Name: *

DAF Contact Number: *

DAF Initials: *

CAPTCHA

Please type the CAPITAL letters as they appear in the image.

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.

Copyright