UW-WHITEWATER PARKING PERMIT REFUND REQUEST
This form must be completed and submitted to be eligible for a refund.  Refunds are based on the date Parking is notified.
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Name (First, Middle, Last) *
WINS Number *
(middle 7 Digits on HawkCard)
Home Address *
(Street, City, State, and Zip Code)
Phone Number: *
Email Address: *
Permit Number *
Reason for Permit Refund *
You acknowledge by submitting this request, your permit will no longer be valid on UW-Whitewater campus.  Parking Services will issue a pro-rated refund within 1 week notification is received.  *
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