Submit a request – Emory University

What can we help you with?

Your email address

First Name (Requester)

Last Name (Requester)

Employee or Student ID #

This helps us confirm we are assisting with the correct account.

Email Address

Cell Phone Number

What is the name of your department?

Please enter your full department name.

What is your work location?

Please enter your building name or address.

What is the speed type for the $1,788 annual reserved space fee? (10 digits)

Is this space for a specific individual

What Is the individual's name?

What Is the individual's job title?

Please explain fully the reason for your request.

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle License Plate

Vehicle State of Registration

Additional Details

Please enter any additional details for your request.

Department Paid Reserved Parking Space Acknowledgement

I acknowledge that I am authorized to transact business of behalf of the above listed department and am confirming that the information above is correct.

Emory University Parking Rules and Regulations Acknowledgement

Emory University Parking Rules and Regulations Acknowledgment I understand that I am responsible for obtaining and familiarizing myself with Emory's Parking Rules & Regulations, and by submitting this form, I agree to abide by them. I agree to abide by established regulations regarding any commute subsidies that I receive by registering in a Smart Commute Program. I also understand that I am responsible for any fines or fees associated with this permit or the vehicle to which it is attached, and that non-payment of any fines or fees could result in immobilization or towing of my vehicle and/or deactivation of my permit.

Attachments(optional)

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