Temporary accessible parking request

Submit this form to request temporary use of accessible parking spaces.

I acknowledge Royal Roads University may require medical documentation to support this request

1. First name

Last name

2. Affiliation

Student

Employee

Associate faculty/contractor

Other

What is your affiliation to RRU?

Student/employee ID number

3. Phone number

4. Email address

Between what dates do you require temporary use of accessible parking spaces?

5. Start date

6. End date

The personal information collected on this form is collected under the authority of the University Act and is subject to the Freedom of Information and Protection of Privacy Act. The personal information collected will be used for assessing medical needs, in relation to parking requests.

For more information regarding the collection and use of personal information, phone RRU’s Privacy Officer at 250.391.2600 ext. 4178 or email info@royalroads.ca.

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