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UCSF Public Parking Stickers - Order Form

Submit separate order for each sticker type.


Complete all required fields*

Requestor Name*: 
Employee ID*: 
UCSF Email*: 
Department*: 
Telephone*: 
Campus Box*: 
New Recharge: 

Bus Unit*

ACCT*

FUND*

Dept_ID*

Project_ID*

Act Per

Function*

Flexfield
Dept. Recharge Contact: 
Name* Telephone*

Sticker Type*:






Disabled stickers will not be honored without a VALID Disabled Placard/Plate.
NO EXCEPTIONS. Please issue only to patients and visitors with VALID placard.







 
Sticker Quantity*:
 


Rush Order $20 - Pickup after one working day (24 hours) only at Parnassus Milberry Union, P7-Level, Room 26; standard processing time is two working days.

Do you want a RUSH order:  

Pickup Location*:




Pickup Email*: 
Send confirmation to this email when order is ready to be picked up:


Total Sticker Recharge Fee: $0.00

Special Instructions and Comments:


Order Description:

Your total recharge is $0.00, based on 0 stickers @ $0 per sticker.
Your order will be ready for pickup after two working days at .
If you have questions or need assistance with this order, please call Transportation Services at (415) 476-2566.
Thank you.



Recharge Approval*

I have signature authorization privileges on the above account; I understand that UCSF Complimentary Stickers are not intended for use at an employees primary work location; stickers are primarily intended for UCSF patients and visitors; and stickers are non-refundable.

UCSF employees may be eligible to use a complimentary stickers for university business at non-primary work locations that involve transporting materials, after hour meetings or require a 2 or more UCSF shuttle connections or no shuttle service available. UCSF departments are required to maintain a UCSF Complimentary Sticker Issuance Log and Transportation Services may audit the issuance log to ensure departmental compliance with university policy.


You will receive an e-mail confirmation of your order. Please bring a signed copy of the e-mail confirmation with you when you pickup the stickers.


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