Substitute Vehicle Permit Application Name* First Middle Last NetId (Employees/Students)Peoplesoft Number (Students)Phone*Email* Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary UConn Campus Affiliation*StorrsAvery PointGreater Hartford (West Hartford)Law School (West Hartford)StamfordTorringtonWaterburyAre you a student or an employee?* Student Employee Permit Type Currently Held* C & W Lots (Storrs) Commuter Student (All campuses) Resident (Storrs) Premium Resident (Storrs) North Garage (Storrs) South Garage (Storrs) Scovill Garage (Waterbury) Apartment Student (Storrs: Charter Oak, Hilltop, Mansfield, and Northwood) Permit Type Currently Held* Area 1 (Storrs only) Area 2 (Storrs, Regionals & Health Campus) Area 3 (Storrs & Health Campus) North Garage (Storrs) South Garage (Storrs) Scovill Garage (Waterbury) Substitute Vehicle Permit Types Alternate Vehicle Permit When repairs or life's unexpected events require University permit holders to drive to campus using a vehicle other than those associated with their parking permits, a Substitute Vehicle Permit must be used. A maximum of twenty-one (21) days of Alternate Vehicle Permit use will be provided to any one University permit holder at no charge each year (September – August). The Alternate Vehicle Permit type extends the holders current parking permit-type privileges to the substitute vehicle and therefore must be parked in the same area as authorized by the primary permit type. Ride-Alone Permit Carpool Permit holders may request and receive at no-charge a maximum of two (2) Ride-Alone Permits per semester. The Ride-Alone Permit type authorizes a University carpool member to drive a personal vehicle to campus unaccompanied by their fellow carpool members. The personal vehicle driven can be otherwise unassociated with the University carpool permit typically used by the Ride-Alone Permit requestor. Ride-Alone Permits authorize parking in the same parking location(s) associated with the requestors carpool permit. Please choose the option that best matches your scenario.* Alternate Vehicle Permit Ride-Alone Permit Beginning Date Substitute Pass Needed*Substitute Passes are valid for a maximum of 14 days starting with the date you choose below. MM slash DD slash YYYY Ending Date Substitute Pass Needed*Substitute Passes are valid for a maximum of 14 days starting with the date you choose in the above beginning date. MM slash DD slash YYYY Substitute Vehicle InformationSubstitute Vehicle License Plate Number*Substitute Vehicle State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificSubstitute Vehicle Year*202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Substitute Vehicle Make*ACURAALFA ROMEOAMERICAN MOTORS CORPAPRILIAASTON MARTINAUDIAUSTINBABETHBAJABATAVUSBENELLIBENTLEYBERTONEBMWBRUMANABUICKCADILLACCHEVROLETCHRYSLERCOOPERCURRENT MOTOR CO.DAEWOODATSUNDEBLASIDERBIDIAHATSUDODGEDUCATIEAGLEFERRARIFIATFORDGARELIGAZELGENUINE SCOOTERGENUNGEOGENERAL MOTORS CORPGRUMMANHONDAHARLEY DAVIDSONHUMMERHUSQVARNAHYOSUNG MOTORSHYUNDAIINFINITIISUZUJAGUARJAWA MOTORSJEEPJIANJONWAYKASEAKAWASAKIKIAKYMCOLAMBRETTALAND ROVERLEXUSLINCOLNLOTUSMALAGUTIMARERATIMAZDAMBKMEBEAMEGOMERCURYMGMINARELLIMINIMITSUBISHIMONARKMOPEDS INDIAMOTOBECANEMOTOGUZZIMERCEDESMERKURNISSANNORMAN CYCLESNSUOLDSMOBILEOPELOTHER VEHICLEPEUGEOTPHILLIPS CYCLEPIAGGIOPLYMOUTHPOILINIPONTIACPORSCHEPROPHETEPUCHREIJURENAULTRIGAROLLS ROYCELAND / RANGE ROVERSAABSATURNSCIONSMART CARSOLESSTERLINGSUBARUSUZUKISYMTAOTAOTEMPTOMOSTOYOTATRIUMPHTUNTURIVESPAVICTORYVOLVOVOLKSWAGENYAMAHAYUGOZANELLAZF SHACHSZNENZUNDAPPSubstitute Vehicle ModelSubstitute Vehicle Color*Car Rental Agency NameCar Rental Agency Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code PhoneThis field is for validation purposes and should be left unchanged.