PCC Student & OHSU Customer Permit Request Form

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This request form is for PCC & OHSU Students and OHSU Staff attending classes or working in the Vanport Building located at 1810 SW 5th Ave Portland, OR 97201. If you are a registered PSU student or current PSU staff member, please visit our website for affiliated customer information www.pdx.edu/transportation

𝗦𝗧𝗨𝗗𝗘𝗡𝗧𝗦: PCC & OHSU Students are eligible for the affiliated student commuter permit rates. Student commuter permits are valid for the duration of one term and payment is due within 30 days of purchase. Invoices will be sent via email to the address provided here. Payment information and a copy of the terms and conditions will be sent with your confirmation email. A full list of permit options and rates can be found on our Student Commuter parking page at www.pdx.edu/transportation/student-commuter-parking

OHSU 𝗘𝗠𝗣𝗟𝗢𝗬𝗘𝗘𝗦: OHSU Employees are eligible for affiliated staff rates. Employee permits are billed monthly via email and payment is due within 30 days of invoice. Payment information and a copy of the terms and conditions will be sent with your confirmation email. A full list of options and monthly rates can be found on our Employee parking page at www.pdx.edu/transportation/employee-parking

PCC EMPLOYEES: Please reach out to Jessica August (jessica.august@pcc.edu) for information on how to obtain a subsidized permit.

𝗣𝗲𝗿𝗺𝗶𝘁 𝗿𝗲𝗾𝘂𝗲𝘀𝘁𝘀 𝘄𝗶𝗹𝗹 𝗯𝗲 𝗽𝗿𝗼𝗰𝗲𝘀𝘀𝗲𝗱 𝘄𝗶𝘁𝗵𝗶𝗻 𝟭-𝟮 𝗯𝘂𝘀𝗶𝗻𝗲𝘀𝘀 𝗱𝗮𝘆𝘀. Be advised that submitting a request does not automatically grant parking privileges. Until your request is processed, you may purchase hourly/daily parking on campus. For information about hourly/daily parking, please visit our website at https://www.pdx.edu/transportation/hourly-visitor-parking. Once your permit has been issued, the primary vehicle on this form will be granted permission to park for 14 days on campus while you wait for your new permit to arrive in the mail. If you do not receive your physical permit before your temporary expires, please contact our office for assistance at tenantparking@pdx.edu.

Email *

Which Organization are you affiliated with? *

PCC

OHSU

First and Last Name *

Phone Number *

Please list a direct phone number. Customer phone numbers are not shared, and will only be used to contact you regarding billing or issues related to parking (ie. vehicle break-in, vehicle blocking a throughway, etc.)

Physical Address *

IMPORTANT: Your permit will be mailed to the address provided here. Please list an address that you have access to on a daily basis.

Date of Birth *

This information is for identification purposes, and will not be shared.

YYYY

Please indicate the date you would like to start parking *

YYYY

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