Employee Static Cling Application - Oregon Department Of Administrative Services
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1
2Fleet & Parking Services
1100 Airport Rd SE
Salem, OR 97301-6082
503-378-5090
Employee Static Cling Application
503-378-2157 fax
state.parking@oregon.gov
Employee Name:
Employee ID#:
Last
First
MI
Agency Name/Division/Section:
Agency Number:
Worksite Address:
Street/City/Zip
Work Phone:
Email:
For events & issues relative to your parking assignment
Reason why the Static Cling is requested:
YOUR VEHICLE DESCRIPTIONS:
Vehicle #1 – Year/Make/Model:
State:
Plate:
Vehicle #2 – Year/Make/Model:
State:
Plate:
RULES ON USE OF STATIC CLING PERMITS:
•
Permit must be affixed in the lower left hand corner of the driver’s side front windshield. Please make sure the permit can
be viewed from outside your vehicle.
•
Valid at all state meters. State meters are identified with a purple sticker surrounding the Cash Key hole. Staff housed at
the Ferry Street location cannot use the Ferry Street meters.
•
Valid at Yellow lot, Green lot, Ferry Street Structure Rooftop and the unreserved section of the Red lot.
•
Valid at the Portland State Office Building pay & display area on the surface lot. Staff housed at the Portland State Office
Building cannot use the permit in the pay & display area.
•
Not valid at service vehicle only parking spaces.
•
Not valid at DAS maintenance vehicles only parking spaces (Operations & Maintenance staff members - OK).
•
Not valid at any reserved parking space.
•
Permits are for official work related use only – not for personal business or convenience. Misuse may result in confiscation
of permit.
•
Notify the State Parking office immediately if the permit is lost or stolen.
•
Permits are to be returned upon termination of employment or change in job duties.
I understand that parking regulated by the Department of Administrative Services is subject to the provisions of OAR
Chapter 125, and ORS Chapters 98, 276, 283, and 292. By accepting a parking assignment made by the Department, I
agree to abide by these rules and laws. I further understand that failure to abide by these rules and laws may result in
citation, prosecution and/or loss of parking privileges.
Signature:__________________________________________________________________
Date:___________________
OFFICE USE ONLY
E-mail:
state.parking@oregon.gov
Website:
Permit Number: _______________________________________ Start Date: ____________________________
U:\PKG\Forms\StaticClingApplication.docx
Updated 11/3/2017 ICD
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