Attn: Security
200 University Parkway
Yakima WA 98901
Phone: 509-249-7727
E-Mail:
security@pnwu.edu
PNWU Vehicle Update Request
Completing this form will enable you to update your existing vehicle information on your parking permit; add vehicles, remove vehicles, update license plates.
Full Name:
*
First Name
Middle Name
Last Name
Request for:
*
PNWU COM Student
PNWU MAMS Student
PNWU SOPT Student
PNWU SOT Student
PNWU Staff
PNWU Faculty
PNWU Board Member
PNWU Volunteer
WSU Nursing Student
WSU Pharmacy Student
WSU CON Staff
WSU CON Faculty
WSU CPPS Staff
WSU CPPS Faculty
Vendor
Other
E-mail:
*
Do you need to add a new vehicle to the system?
*
Yes
No
Vehicle #1: Information
Make:
*
Model:
*
Color:
*
License Plate Number:
*
State:
*
Do you have an additional vehicle that needs to be included?
*
Yes
No
Vehicle #2: Information
Make:
Model:
Color:
License Plate Number:
State:
Do you need to remove an existing vehicle from the system?
*
Yes
No
Existing Vehicle #1: Information
Make:
*
Model:
*
Color:
*
License Plate Number:
*
State:
*
Signature
My typed signature is my symbol and intent of authentication where I willingly signed, understand, and adopt this document.
Name:
*
First Name
Last Name
Signature Date:
*
-
Month
-
Day
Year
Date Picker Icon
Submit
Should be Empty: