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Campus Safety

Vehicle Waiver and Release Form

I am requesting permission from Ïã¸ÛÁùºÏ²Ê to park the vehicle described below on the Ïã¸ÛÁùºÏ²Ê Campus during the period specified below. I am the registered owner of the vehicle, or affirm that I have the permission of the registered owner to leave the vehicle on campus for the period specified and that the vehicle remains insured the entire time the vehicle is on Ïã¸ÛÁùºÏ²Ê campus. I completely and fully understand that Ïã¸ÛÁùºÏ²Ê assumes no responsibility for safekeeping my vehicle during the below specified time period. I also understand that, should the need arise, Ïã¸ÛÁùºÏ²Ê may move the vehicle with the key I’ve provided. 

 

Vehicle Description

This will be verified by Campus Safety

Vehicle to be parked in: lower level of Northwoods parking lot

Emergency Contact Information



By putting your name in box below, you are acknowledging the terms and conditions of this waiver form and this will be considered your signature for this web-based form.