Smart Commuter Program Application - Oregon Department Of Administrative Services
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1Fleet & Parking Services
1100 Airport Rd SE
Smart Commuter Program Application
Salem, OR 97301-6082
503-378-5090
503-378-2157 fax
state.parking@oregon.gov
Program Summary
The Department of Administrative Services offers the Smart Commuter Program to encourage employees to use
alternative modes of transportation in their commute. The goal is to reduce traffic volume and parking demand, improve
air quality, and reward the efforts of state employees who leave their cars at home. To qualify, an employee must
commute to work by public transit, rail, vanpool (six or more qualifying riders), commuter bus, bicycle or walk from home
or from a park-and-ride lot more than half of their workdays each month. Permanent, temporary and contracted state
employees may participate in the program.
Employees who lease parking (vanpools excluded) in a private or public lot or who are participants in a carpool or
participate in a carpool with assigned parking in a City of Salem carpool area are not eligible for the Smart Commuter
program.
Program Benefits
•
Occasional parking permits - participants who work in the Salem Capitol Mall Parking Area or at the Portland
State Office Building receive parking permits valid for two days each month issued by Fleet & Parking Services.
The permits allow all-day parking in Salem at the two and four hour parking meters at the Capitol Mall Parking
Structure, Green, Red, Yellow and Ferry Street Structure rooftop unreserved spaces, and at the Portland State
Office Building park and pay spaces.
•
Guaranteed ride home – (Salem participants only) Salem-Keizer Transit, Cherriots Rideshare office offers an
emergency ride home to a wide geographic area. Contact Cherriots Rideshare for details at (503) 371-7665, or
outside Salem, (888) 323-7665 or visit their website:
Employee Name
Employee ID#
Last
First
MI
(Non-state employees, enter last 4 digits of SS# for ID)
Agency Name
Agency Number
Agency Division/Section
Agency Work Address
Street/City/Zip
Work Phone
Email
HOW DO YOU COMMUTE TO WORK?
I CERTIFY that for more than half of my workdays I use (check all that apply):
Public transit / Rail
Vanpool / Commuter bus
Bike
Walk
By my signature below, I certify that I commute to work as stated above and that I do not rent parking (vanpools
excluded), nor am I registered in a carpool. If I change my commuting habits and no longer qualify for the Smart
Commuter Program, I will immediately notify Fleet & Parking Services and return any unused parking permits. Passes are
not transferable and not replaceable, if lost or stolen. I understand that fraudulent use of program incentives may result in
citation, prosecution and/or loss of parking privileges. ORS 276.591-594, OAR Chapter 125, Division 90, Salem Revised
Code 102.105 and 102.115.
Signature
Date
U:\PKG\Forms\SmartCommuter.docx
Updated 8/29/2017 ICD
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