VEHICLE REGISTRATION FORM AND GUIDELINES

University Police (UPD) administers all vehicle parking registrations as outlined in the campus Traffic and Parking Regulations – Part 565 – Plattsburgh. This includes the proper vehicle registration, hangtag display, and parking in designated lots.

Individuals without access to MyPlattsburgh shall use this form to register vehicles for parking on campus.

Personal Information

Name Personal Information

Name First Last
Phone Phone - ### - ### ####
Email
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Campus Affiliation: check the appropriate box to identify your campus affiliation, and complete this section.

Campus Affiliation: check the appropriate box to identify your campus affiliation, and complete this section. THIRD PARTY AFFILIATE INVITED GUEST OF VOLUNTEER VENDOR CONTRACTOR VISITING PUBLIC VENUE TEMP EMPLOYEE (30 days or less) OTHER
Additional Details
MY CAMPUS CONTACT MY CAMPUS CONTACT First Last
MY CONTACT’S PHONE MY CONTACT’S PHONE - ### - ### ####
PURPOSE OF MY VISIT
I WILL BE AT THIS LOCATION
FROM THIS DATE FROM THIS DATE / MM / DD YYYY
TO THIS DATE TO THIS DATE / MM / DD YYYY
Vehicle Registration: Complete this section from vehicle registration

PLATE
STATE
YEAR
MAKE
MODEL
COLOR
REGISTERED TO REGISTERED TO First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Terms and Conditions: Complete this section to accept all terms and conditions for parking on campus.
Refer to the Hangtag Guidelines for instructions on the proper display of the hangtag assigned to the above vehicle.
I accept all campus parking terms and conditions as outlined in the campus Traffic and Parking Regulations – Part 565 – Plattsburgh
Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY