Mason Square Supplemental Permit/Access Request Form

Mason Square Supplemental Permit/Access Request Form
- Applicants must have a valid Fairfax/SciTech parking permit to qualify for a Mason Square Supplemental parking permit. The following Fairfax/SciTech parking permits do not qualify for this program:
  - West Campus Permit
  - Lot M/P Permit
  - Resident Lite Permit
  - Townhouse Permit
  - Adjunct/Non-Student Wage Permits
- Orders are processed and available within 48 hours between Monday - Thursday.
Name*

First NameLast Name
G Number*
Mason Email*
I am requesting a supplemental permit/access credential as a*

StudentFaculty/Staff Member
Phone*
How often do you expect to visit Mason Square this semester?*

Weekly on a recurring schedule (e.g., for classes or teaching)Only on specific, infrequent days (e.g., for occasional meetings or events)
Please list of the days you plan to visit Mason Square.*
Do you have an active permit?*

Yes, I have a permit for current semester.No, I don't have any permit.
Do you have one of the following permits?*

West Campus PermitLot M/P PermitResident Lite PermitTownhouse PermitAdjunct/Non-Student Wage PermitNone of the Above
Only qualified active permit holders can receive a complimentary supplemental parking permit for the Vernon Smith garage at Mason Square.

To purchase a parking permit, visit the Parking Portal.

To upgrade your parking permit, submit your permit exchange request form here.

Go Green, Consider Using the Mason Square Shuttle.
Take the Mason Square Shuttle from the Rappahannock Shuttle Stop on the Fairfax Campus for a fast ride to Mason Square, no parking hassles, no driving stress, and free Wi-Fi on board. See Shuttle Schedules Here.
To obtain a complimentary supplemental parking permit for the Vernon Smith garage at Mason Square, please submit the following supporting material:
- Student--Proof of a current-semester class schedule
- Faculty--Proof of teaching assignment
File Upload Here*

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Email Text (DO NOT DELETE)
Additional Comments
I am placing this order with the understanding that there are no refunds available for validations. I attest that I am authorized to make this transaction.*

I agree
Signature*

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