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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*: 
Campus Box*: 
New Recharge: 

Bus Unit*





Act Per


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 (Additional $20 fee) – Pick up after one working day (24 hours). Regular Order (No additional fee) – Pick up after two working days (48 hours).

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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