OAK EMPLOYEE PARKING APPLICATION FORM (Employee Pays)

OAKLAND INTERNATIONAL AIRPORT EMPLOYEE PARKING LOT (EMPLOYEE PAYS)

ACCESS CONTROL FORM
Type of Parking Permit Application (pick one):*

New Online Form Submission (For New Employee)Update-Change from Company-Pays to Employee-PaysWorking for Different CompanyIneligible for 2nd Vehicle through my CompanySouthwest Airlines (Payroll Deduction)Other

EE-Pays Section
Submit Current Valid Airline Badge*

Valid Airline Badge Upload
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FIRST NAME*
LAST NAME*
PORT ID BADGE #
HOME TELEPHONE*
Please enter a valid phone number
E-MAIL ADDRESS example@example.com*
Port communication is via this email address, be sure it is correct.
Home Address*

Home Address

Street Address Line 2

CITYSTATE

ZIP CODE
COMPANY NAME*
Enter Company Name here if not in previous dropdown list
COMPANY DEPARTMENT
Required for Alaska Airlines or SWA
Title
Your position in the company
COMPANY TELEPHONE
Please enter a valid phone number.
Address

COMPANY ADDRESS

Street Address Line 2

CITYSTATE

ZIP CODE
Vehicle Information:
1st Vehicle Make*
Ex: Honda, Toyota, Ford, etc.
Model*
Ex: Accord, Prius, Mustang, etc
Year*
Ex: 19##, 20##
License Plate*
Registration Expiration Date*
Ex: ##/##/##
PLEASE ATTACH COPY OF CURRENT VEHICLE REGISTRATION CARD
File Upload - 1st Vehicle Registration

1st Vehicle Current Registration - You do not need to be the registered owner
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FOR OFFICE USE ONLY:
1st Vehicle Decal #
Issuer's Initials
Date Issued
QTR Issued
YR Issued
Only two (2) decals can be purchased per applicant. Each vehicle permit will incur a separate fee. Would you like to purchase a second parking decal?*

YesNo
2nd Vehicle Make*
Ex: Honda, Toyota, Ford, etc.
Model*
Ex: Accord, Prius, Mustang, etc
How will you pay?*

Online - Complete the Parking Permit Order Form (Wait 1-2 business days to confirm your order is ready then pick-up permit in-person at the parking counter)In-Person (pick-up permit in-person at the parking counter)
Year*
Ex: 19##, 20##
License Plate*
Registration Expiration Date*
Ex: ##/##/##
File Upload - 2nd Vehicle Registration*

2nd Vehicle Current Registration - You do not need to be the registered owner
Cancelof
FOR OFFICE USE ONLY:
2nd Vehicle Decal #
Issuer's Initials
Date Issued
QTR Issued
YR Issued
DISCOUNT FOR PARKING FEES:
DISCOUNT PARKING QUALIFICATIONS:
OAK has three (3) qualifying parkers who may receive a 10% discount to their employee parking at Oakland International Airport. Each qualifying parker will be responsible for submitting the correct qualifying documentation before a discount is applied.

The 10% discount only applies to a single parking permit. If you apply for a second permit, it will be at the non-discounted rate.

Senior: Defined as any employee 55 years or older
• Picture ID that shows applicant's name and DOB

US Military: Active or Veteran
• Active or veteran ID card that shows applicant's name

Student: Must be currently enrolled in classes
• Student must be enrolled with 1 or more class at a school, community college, university or trade school. Must be currently enrolled in classes and present official enrollment letter, class schedule for the current academic term, registration receipt or tuition receipt transcript that show classes currently in progress. Documentation should include the Applicant's Name, School Name, Current Academic Term.

ALL DISCOUNTS MUST BE VERIFIED IN PERSON AND WILL NOT BE RETROACTIVELY APPLIED TO AN ACCOUNT.
Do you qualify to receive the 10% Employee parking fee discount?*

YesNo
Discount (pick one):*

SeniorMilitaryStudentNone
Upload Discount Qualifying Documentation (see above definition)*

Cancelof
Select your Calendar Quarterly Purchase (pick one):*

1st Qtr (Today - Mar 31st)2nd Qtr (Today - Jun 30th)3rd Qtr (Today - Sep 30th)4th Qtr (Today - Dec 31st)
TERMS AND CONDITIONS:

Decal MUST be affixed to lower right front windshield. Decals are not transferable and may not be transferred from one vehicle to another. If permitted vehicle information should change, bring in decal with new registration/paperwork in exchange for a new decal. Only two (2) decals can be purchased per applicant. Each vehicle permit will incur a separate fee. Upon termination of employment, return decal by the 4th of the month to receive a credit. If decal is returned after the 4th, your company will be billed for the entire month.

Lost decals may be replaced at the cost of the parking permit.

If driving a substitute vehicle due to auto repair, a temporary parking permit may be granted at the Landside Operations Office (510) 563-6460. A TEMPORARY PERMIT IS VALID FOR UP TO A MAXIMUM OF SEVEN (7) CALENDAR DAYS.

This is your contract. It licenses you to park and lock one vehicle in a designated area at your sole risk. The Port of Oakland does not guard nor assume cars, custody, or control of your vehicle or its contents and is not responsible for fire, theft, damage, or loss. No other bailment is created. Park in marked stalls only. No guarantee of space availability. Improperly parked and unregistered vehicles will be cited and/or towed at owners’ expense. Acts of vandalism or destruction of the access control equipment, parked automobiles, and/or any other property; illegal or illicit activity in the parking lot, will result in the assessment of fines and repair costs along with the permanent revocation of parking privileges on Airport grounds. The Port of Oakland shall not be responsible for any loss or damage to motor vehicles or to any property contained therein to any cause whatsoever while such vehicles are parked in the Airport parking lots. The Director of Aviation or his designee may revoke parking privileges at any time.
How will you pay?*

Online (you're required to pay online) and pick-up permit in-person at the parking counter.
APPLICANT SIGNATURE:*

Clear
DATE*

MonthDayYear
Date
I HAVE RECEIVED PERMIT #
SIGNATURE

Clear
DATE

MonthDayYear
Date
Please note: If upload(s) are not legible and/ or missing information, your application may be delayed.
Should be Empty:

OAKLAND INTERNATIONAL AIRPORT EMPLOYEE PARKING LOT (EMPLOYEE PAYS)

Vehicle Information:

PLEASE ATTACH COPY OF CURRENT VEHICLE REGISTRATION CARD

FOR OFFICE USE ONLY:

FOR OFFICE USE ONLY:

DISCOUNT FOR PARKING FEES:

Please note: If upload(s) are not legible and/ or missing information, your application may be delayed.