CALIFORNIA STATE UNIVERSITY
POLICE DEPARTMENT
HAYWARD, CA 94542-3053
(510) 885-3791 FAX (510)885-3594
Special Parking Permit Request Form
PLEASE COMPLETE ALL APPLICABLE SECTIONS:
Reqestor is a:
Student
Faculty Member
Staff Member
Community Member
Name and Title:
Address:
Department:
Telephone:
Email:
I filled out this form
On the Web
In Person
Mailed It
Faxed It
Special Permit Request
Alternate Parking: Shall only be issued to individuals or groups who have
demonstrated a need for special parking as an alternate to their regular parking
privileges. Purchase of a day/student/staff/faculty permit required.
Official State Business: Shall only be issued to university affiliates
(individuals or groups) who have established a need for special campus
access or parking to conduct official state business. Regular parking permit
purchase not required.
Reason why special permit(s) are needed
:
Campus Business Activity
Outside entity event
Emergency need
Other
Times:
Dates:
Locations:
Description:
E-mail address:
