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Parking Receipt Request Form
You must have JavaScript enabled to use this form.
A copy of your receipt can be provided if UI Parking and Transportation can verify the transaction.
First Name
Last Name
Email Address
Date
Time of exit
Transaction Amount
Parking Location
- Select -
Dental Patient and Visitors Lot (Lot 33)
Family Care Center (Lot 99)
Field House Lot (Lot 6)
Hillcrest Lot (Lot 13)
Hospital Ramp 1 (Lots 50 & 54)
Hospital Ramp 2 (Lot 70)
Hospital Ramp 3 (Lot 80)
Hospital Ramp 4 (Lot 30)
IMU Ramp (Lot 60)
Library Lot (Lot 3)
Newton Road Ramp (Lot 10)
North Campus Ramp (Lot 20)
Recreation Center Lot (Lot 11)
South Quad Lot (Lot 14)
Payment Method
Cash
Debit/Credit Card
Card Type Used
Visa
Mastercard
Discover
American Express
Last four digits of credit card number used
Vehicle license plate
Cash transactions only
Vehicle description
Cash transactions only
Leave this field blank