EMMC/EMHS Parking Registration Form

EMMC/EMHS Parking Registration

Parking Office Hours:
M-F 7:30 am until 4:00 pm

Choose Registration Type (2 options)

1. First Time User - This is my first time registering my vehicle(s) on this site
2. Returning User - Add an additional vehicle to my record.

To remove a vehicle: please use our contact form. Be sure to provide the Make, Model, and Plate Number in your message. *You do not need to complete the rest of this form.

*If you need to register more than three vehicles, please contact us by using our contact form or by calling 973-5187.

**The Medical Parking Permit Application can be downloaded here.**

Personal Information

First Name:

MI:

Last Name:

Street Address:

City

State/Province

Zip

Birthdate

Dept Name:

Dept Phone #:

Please choose the hours that you are required to be at work:

Begin:

End:

Choose Role which best describes you:

If *other please specify here:

Please list your primary work location:

If *other please specify here:

Vehicle Information*

Example:
AAAAA
not AA AAA
Plate #1 without spaces

State

Select Plate Type

Make

Model

Color

Plate #2

State

Select Plate Type

Make

Model

Color

Plate #3

State

Select Plate Type

Make

Model

Color

*If you need to register more than three vehicles, please contact us by using our contact form or by calling 973-5187.