DOL Parking Permit Request Form
Please complete the registration form below.
Only authorized personnel can purchase parking permits. Please do not register to purchase a parking pass if you are not authorized to park in the garage located at Department of Labor FPB building. Parking Management will verify all personnel to ensure authorization. **The monthly parking fee is a flat rate and cannot be prorated during purchase no matter how many weeks or days remain in the month the payment is made.
Issued September 2021
Name
*
First Name
Last Name
Email
*
example@dol.gov
Phone Number
*
Please enter a valid phone number.
Agency
Office Number
*
Please enter a valid phone number.
*Category
*
Carpool, Single Rider, or SES
Car Information
Car #1
*
Make
Model
Year
Color
License Plate #
*
Please Include State
Car #2
Make
Model
Year
Color
License Plate #
Please Include State
Rider Information
Rider Name 1
Phone Number
Please enter a valid phone number.
Rider Name 2
Phone Number
Please enter a valid phone number.
Rider Name 3
Phone Number
Please enter a valid phone number.
Rider Name 4
Phone Number
Please enter a valid phone number.
Rider Name 5
Phone Number
Please enter a valid phone number.
Rider Name 6
Phone Number
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Permit Number
*
Submit
Should be Empty: