Student Vehicle Registration Form
Download a blank fillable Student Vehicle Registration Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Student Vehicle Registration Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1STUDENT VEHICLE REGISTRATION FORM
To receive a WCSU parking decal you must:
1.
Complete this registration form.
2.
STAPLE A COPY of a valid State Vehicle Registration Certificate for the vehicle you
want to register to this completed registration form.
3.
Bring the items mentioned above and your student ID to obtain your permit.
Your decal must be displayed on the lower corner on the interior of the front windshield on the driver’s side. Your
permit allows you to park your registered vehicle in designated parking areas; please see the color-coded campus
maps for parking areas. Special restrictions apply Monday through Thursday 7 a.m. to 5 p.m., please refer to the
Parking Rules & Regulations Brochure and the WCSU website
for the most recent updates
to parking.
_____________________________________________
_____________________
Name
ID#
Last
First
MI
WCSU Student
__________________________________________________________________________
Home Address
Street
City
State
Zip
(____)________________
(_____)_________________
Phone
Home
Cell
________ /____ /_________
Date of Birth
Gender:
Male
Female
MM
DD
YR
A copy of current State Vehicle Registration Certificate (Department of Motor Vehicles) is attached.
NOTE: Dealer registrations will not be accepted. Temporary registrations will be issued a decal, but
a permanent registration must be brought in as soon as it is available.
PARKING AUTHORIZATION
Student housing/status (Please check appropriate box below):
Commuter student
MT resident
WS Resident
Freshman
Sophomore
Junior
Senior
Other (please explain) _____________________________________________________
You can register only one vehicle. If you must bring another vehicle without your decal to campus, contact the
University Police Department at (203) 837-9300 to register the alternate vehicle for the day. Decals are not
transferable.
With my signature, I certify that the above information is correct and acknowledge that I am responsible for abiding by the WCSU
Parking Rules and Regulations. I also acknowledge that this vehicle or any other vehicle under my control may be ticketed or
towed when it is in violation of university Parking Rules and Regulations:
Signature: _________________________________________
Date: _______________________________
FOR OFFICE USE ONLY: DECAL NUMBER______________Issued by ______________ Date_______________
For more information, call the University Police Department Parking Office at (203) 837-3289.
Revised: June, 2011.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal