Designated Reserve Request Form

Department Name *

Funding String *

Grant Project Code (If applicable)

Account Code *

515000 - Dept. Special Permits
599000 - Non-Employees Parking (Visitors and Guests)

Requestor Full Name *

First Last

Requestor Email *

Requestor Phone Number *

Purchase Type *

Renewal
New Purchase

Does This Space Need Relocation? *

No
Yes

Please specify where you would like to relocate this stall *

Confirmation of Understanding *

By entering my initials below (digital signature), I understand that stall relocations must be approved by upper management and can be denied.

Location *

Confirmation of Understanding *

By entering my initials below (digital signature), I understand that new stall installations must be approved by upper management and may be moved due to space/maintenance issues.

Permit Type *

Individual-Use
Department-Use

Employee Name *

Employee Boise State ID Number *

Quantity *

Delivery Type *

Inter-Department Mail
Pickup In-Office (Transit Center)

Mail Stop *

Additional Information or Special Notes

Electronic Signature *

By entering my initials below (digital signature), I signify that all information entered above is correct to the best of my knowledge.

Designated Reserve Request Form

Payment Method

Transportation and Parking