Community Member Permit Application

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Please provide the information below to obtain a UNC Asheville Community Member Permit. While we do our best to protect user information, please do not provide financial information as this is not a guaranteed secure database.

First Name *

Middle Name

Last Name *

Contact Number *

A phone number you can be reached at while a vehicle is parked on campus.

Email Address *

Enter none@unca.edu if no email is available

Driver's License Number *

Address *

City *

State *

Zip Code *

Vehicle Make (Example: Buick) *

Vehicle Model (Regal) *

Year of Make (Example: 2015) *

The year in which your vehicle was made.

Tag or License Plate Number *

North Carolina General Statute G.S. 20-279.1(11) requires that those who apply for parking permits have valid insurance for all vehicles covered by the permit. *

I the user acknowledge that I have insurance coverage that meets the requirements of the State of North Carolina. I further agree that I will purchase additional coverage if the coverage requirements of the State of North Carolina are increased.

Yes

Required

Are You the Registered Owner of the Vehicle? *

Yes

Required

If you are not the Owner of the Vehicle, provide the owner's name below.

Permit Type Requested *

OLLI Single Vehicle

OLLI Additional Vehicle ($20)

Application Terms of Use *

I have completed all requested information and provided correct, complete, and up-to-date information on this form, and I will apply for a new permit should such information change. I agree to abide by the current Regulations Governing Traffic, Parking, and the Registration of Motor Vehicles for Use on the Campus of the Universityof North Carolina Asheville, found at: www.publicsafety.unca.edu/parking

Yes

Required

Submit

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