' Western Parking and Visitor Services
Link to: The University of Western Ontario Link to: Western Parking and Visitor Services

Western Parking Services: Faculty/Staff Permit Application Form
University Parking Permit Application Form for
Statement of Agreement

Do you accept the Statement of Agreement as the terms and conditions of this parking permit?
*I accept I DO NOT accept

Account Information

Please enter the following data to update/setup your parking account.
Your Status is:
* Faculty/Staff
Western email address (for example, jdoe@uwo.ca)*:
Employee Number*:

Campus Address
Campus Building/Room Number*:
Campus Phone Extension*:

Home Address Information
Home Address*:
Postal Code*:
Home Phone Number:

Vehicle Information

Vehicle 1* Vehicle 2 Vehicle 3
License Plate*: License Plate: License Plate:
Province/State*: Province/State: Province/State:
Vehicle Make*: Vehicle Make: Vehicle Make:
Vehicle Model*: Vehicle Model: Vehicle Model:
Vehicle Colour*: Vehicle Colour: Vehicle Colour:
Vehicle Type*: Vehicle Type: Vehicle Type:

Type of Permit Requested*

Please choose the type of permit according to your needs.
Please refer to Campus Parking Map for more information on lot names and locations.

I have the flexibility to park in any parking space within my selected zone (Orange or Grey) as space is available. Please issue me an economy Non-Reserved permit so that I may park wherever there is space in one of the following zones. I understand that I am not guaranteed a space in my preferred lot every day and will park in other lots within the zone as space is available (changes daily):

Rate for Perimeter Non-Reserved and Disabled Permit is $33.95 per month from September, 2013 to August, 2014.

Transponder Information

All permit holders require a transponder. A $30.00 refundable deposit will be added to the cost of your permit.

Start and End Date of Permit Requested

Your Permit Duration is:* other

Please indicate start and end dates.*
Start Date of Permit:
End Date of Permit:

Special Parking Arrangements

Disabled Permit Information
Ministry of Transportation Disability Permit Number:

Expiry Date:
Motorcycle Permit
Motorcycle Permit Required Motorcycle Permit Not Required

Payment Method
Please select one of the following payment methods. *

Payroll (Fulltime Faculty/Staff only - minimum 3 consecutive months) Visa Mastercard American Express
Click here to:

Online Payments are secured by:

Western Parking and Visitor Services is proud to be a member of the:
Ontario Campus Parking Assoc., Canadian Parking Assoc., International Parking Institute

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