Vendors & Service Providers Permit Application Vendors and service providers are businesses contracted by the University to complete work on one or more of its campuses. These University-contracted providers may apply for parking permits that authorize parking on University property. Two primary parking permit types are available for purchase by these University contracted businesses using this form: (1) "Multi-Area" permits authorize parking within "Area 1" and "Area 2" employee parking spaces on the Storrs campus AND on the above referenced University's Regional campuses. (2) "Service" parking permits that authorize parking within posted "Service" AND "Vendor" spaces on the main Storrs campus AND the above referenced University's Regional campuses. Regional campuses include those at Avery Point, Law School, Stamford, and Waterbury campus. Vendor and Service provider parking on the Health Center campus can be arranged by calling (860) 679-4248.University vendors who need immediate day-parking authorization should consider using PayByPhone, the University's mobile parking provider. https://park.uconn.edu/pay-by-phone/ Applicant's Name* First Middle Initial Last Phone Number of Applicant*Email of Applicant* Name - Vendor / Service Provider Company* Company Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country UConn Department contracting the service...*Select DepartmentAcademic RennovationsBuilding ServicesFacilities Operations - StorrsFacilities Operations - Avery PointFacilities Operations - Law SchoolFacilities Operations - StamfordFacilities Operations - West HartfordFacilities Operations - WaterburyPlanning, Archetecture, Engineering & Services (PAES)OTHERName - UConn Project Manager / Coordinator First Last UConn Project NumberPayment MethodPermit applications will not be processed until their full payment is received. Service and Vendor parking permit applications are typically processed immediately and no longer than three business days. Parking permits may applied for and purchased at the Parking Services office in Storrs, 3 Discovery Drive, when the processing of parking permits applications must be expedited. Credit Card Check or Money Order Paid by UConn (KFS Account) KFS Account NumberKFS Account to which the parking permit fee(s) will be posted.UConn Department to which permit parking fees will be billed...Select DepartmentAcademic RennovationsBuilding ServicesFacilities Operations - StorrsFacilities Operations - Avery PointFacilities Operations - Law SchoolFacilities Operations - StamfordFacilities Operations - West HartfordFacilities Operations - WaterburyPlanning, Archetecture, Engineering & Services (PAES)OTHERName of "Other" DepartmentName - KFS Account ContactThe person to which Parking Service staff can speak to discuss the parking fee charge posting, if required. First Last Email - KFS Account Payment Contact Employer's Address - Billing Address of Vendor or Service Provider 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 Email of Vendor or Service Provider (Billing Coordinator)* Phone number of Vendor or Service Provider (Billing Coordinator)Address to which the parking permit should be mailed...Please provide this address if the address to which you want the permit(s) mailed is different than the vendor's / service provider's billing address. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone - Credit Card Number / Payment ConfirmationThis is the number that we will call to obtain your credit card information to secure your parking permit purchase(s). Web forms, like this one, are not sufficiently secure to collect this information. A direct phone call will be made to you by a member of our staff. If you want to purchase your permit using a personal check or cash, we recommend that you come to the Parking Services office in Storrs to complete this transaction. Other payment options can be discussed when we call.UConn Campuses upon which parking is required*Select all that apply. Storrs "Service" permits are valid on Regional Campuses. Regional "Vendor" permits are valid on all Regional Campuses but are NOT valid on the Storrs Campus.Avery PointLaw SchoolStamfordStorrsWaterburyWest HartfordPermit Type RequestedMulti-Area Permit ($74.45/month; 1 - 11 months)Multi-Area Permit ($521.12/year; 12-months)Service Permit ($85.08/month; 1 - 11 months)Service Permit ($624.27/year; 12-months)Select your primary vehicle type* Construction Vehicle (Branded with Company Name) Personal Vehicle Other Describe type of "other" vehicle typeDate upon which parking is first needed ... MM slash DD slash YYYY Date after which parking is no longer needed... MM slash DD slash YYYY Vehicle License Plate Number*Vehicle State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificVehicle Year*202520242023202220212020201920182107201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Vehicle Make*ACURAALFA ROMEOAMERICAN MOTORS CORPAPRILIAASTON MARTINAUDIAUSTINBABETHBAJABATAVUSBENELLIBENTLEYBERTONEBMWBRUMANABUICKCADILLACCHEVROLETCHRYSLERCOOPERCURRENT MOTOR CO.DAEWOODATSUNDEBLASIDERBIDIAHATSUDODGEDUCATIEAGLEFERRARIFIATFORDGARELIGAZELGENUINE SCOOTERGENUNGEOGENERAL MOTORS CORPGRUMMANHONDAHARLEY DAVIDSONHUMMERHUSQVARNAHYOSUNG MOTORSHYUNDAIINFINITIISUZUJAGUARJAWA MOTORSJEEPJIANJONWAYKASEAKAWASAKIKIAKYMCOLAMBRETTALAND ROVERLEXUSLINCOLNLOTUSMALAGUTIMARERATIMAZDAMBKMEBEAMEGOMERCURYMGMINARELLIMINIMITSUBISHIMONARKMOPEDS INDIAMOTOBECANEMOTOGUZZIMERCEDESMERKURNISSANNORMAN CYCLESNSUOLDSMOBILEOPELOTHER VEHICLEPEUGEOTPHILLIPS CYCLEPIAGGIOPLYMOUTHPOILINIPONTIACPORSCHEPROPHETEPUCHREIJURENAULTRIGAROLLS ROYCELAND / RANGE ROVERSAABSATURNSCIONSMART CARSOLESSTERLINGSUBARUSUZUKISYMTAOTAOTEMPTOMOSTOYOTATRIUMPHTUNTURIVESPAVICTORYVOLVOVOLKSWAGENYAMAHAYUGOZANELLAZF SHACHSZNENZUNDAPPVehicle Model*Vehicle Color*Add second vehicle? Add Second Vehicle Vehicle License Plate Number (2)Vehicle State (2)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificVehicle Year (2)201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Vehicle Make (2)ACURAALFA ROMEOAMERICAN MOTORS CORPAPRILIAASTON MARTINAUDIAUSTINBABETHBAJABATAVUSBENELLIBENTLEYBERTONEBMWBRUMANABUICKCADILLACCHEVROLETCHRYSLERCOOPERCURRENT MOTOR CO.DAEWOODATSUNDEBLASIDERBIDIAHATSUDODGEDUCATIEAGLEFERRARIFIATFORDGARELIGAZELGENUINE SCOOTERGENUNGEOGENERAL MOTORS CORPGRUMMANHONDAHARLEY DAVIDSONHUMMERHUSQVARNAHYOSUNG MOTORSHYUNDAIINFINITIISUZUJAGUARJAWA MOTORSJEEPJIANJONWAYKASEAKAWASAKIKIAKYMCOLAMBRETTALAND ROVERLEXUSLINCOLNLOTUSMALAGUTIMARERATIMAZDAMBKMEBEAMEGOMERCURYMGMINARELLIMINIMITSUBISHIMONARKMOPEDS INDIAMOTOBECANEMOTOGUZZIMERCEDESMERKURNISSANNORMAN CYCLESNSUOLDSMOBILEOPELOTHER VEHICLEPEUGEOTPHILLIPS CYCLEPIAGGIOPLYMOUTHPOILINIPONTIACPORSCHEPROPHETEPUCHREIJURENAULTRIGAROLLS ROYCELAND / RANGE ROVERSAABSATURNSCIONSMART CARSOLESSTERLINGSUBARUSUZUKISYMTAOTAOTEMPTOMOSTOYOTATRIUMPHTUNTURIVESPAVICTORYVOLVOVOLKSWAGENYAMAHAYUGOZANELLAZF SHACHSZNENZUNDAPPVehicle Model (2)*Automobile Color (2)Add third vehicle? Add third vehicle Vehicle License Plate Number (3)Vehicle State (3)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificVehicle Year (3)201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Vehicle Make (3)ACURAALFA ROMEOAMERICAN MOTORS CORPAPRILIAASTON MARTINAUDIAUSTINBABETHBAJABATAVUSBENELLIBENTLEYBERTONEBMWBRUMANABUICKCADILLACCHEVROLETCHRYSLERCOOPERCURRENT MOTOR CO.DAEWOODATSUNDEBLASIDERBIDIAHATSUDODGEDUCATIEAGLEFERRARIFIATFORDGARELIGAZELGENUINE SCOOTERGENUNGEOGENERAL MOTORS CORPGRUMMANHONDAHARLEY DAVIDSONHUMMERHUSQVARNAHYOSUNG MOTORSHYUNDAIINFINITIISUZUJAGUARJAWA MOTORSJEEPJIANJONWAYKASEAKAWASAKIKIAKYMCOLAMBRETTALAND ROVERLEXUSLINCOLNLOTUSMALAGUTIMARERATIMAZDAMBKMEBEAMEGOMERCURYMGMINARELLIMINIMITSUBISHIMONARKMOPEDS INDIAMOTOBECANEMOTOGUZZIMERCEDESMERKURNISSANNORMAN CYCLESNSUOLDSMOBILEOPELOTHER VEHICLEPEUGEOTPHILLIPS CYCLEPIAGGIOPLYMOUTHPOILINIPONTIACPORSCHEPROPHETEPUCHREIJURENAULTRIGAROLLS ROYCELAND / RANGE ROVERSAABSATURNSCIONSMART CARSOLESSTERLINGSUBARUSUZUKISYMTAOTAOTEMPTOMOSTOYOTATRIUMPHTUNTURIVESPAVICTORYVOLVOVOLKSWAGENYAMAHAYUGOZANELLAZF SHACHSZNENZUNDAPPVehicle Color (3)Acknowledgement of Parking Rules and Responsibilities*Applications are typically processed within five business days but that processing time could be longer during high-volume periods. Those paying by credit or debit card will be contacted at the telephone number provided in order to obtain the account information needed to process the transaction. All outstanding parking fine balances must be fully paid by the applicant before a parking permit can be issued. With my signature I acknowledge that I have read and understand the Parking Rules and Regulation published on the University’s Parking Services website (http://park.uconn.edu/); the vehicles associated with my UConn parking permit may be ticketed, towed or immobilized when parked in violation of those rules and regulations. Yes, I acknowledge my understanding of the University's Parking Rules and Regulations and my intention to abide by them. Acknowledgement of University Contractor Parking Policy* Yes, I acknowledge my understanding of the University's Contractor Parking Policy and my intention to abide by its requirements. PhoneThis field is for validation purposes and should be left unchanged.