Return Parking Decal Form (Company-Pays)

RECEIPT FOR VOID/RETURNED PARKING DECALS

To be completed by the Company representative
OAK Employee Parking Permit Decals that have not yet expired will continue to incur monthly parking fees until it is returned or until it expires, whichever comes first.

Return current parking decals (even in pieces) by the 4th of the month to avoid charges for the current month up to the expiration date printed on the parking decal.
COMPANY NAME*
DEPARTMENT*
Fill out One form per Department
Enter Company Name here if not in previous dropdown list*
TODAY'S DATE*

MonthDayYear
If permit was mailed, use post-mark date
1. EMPLOYEE NAME of Returned Decal*

First NameLast Name
1. Which Permit are you Returning?*

EE Lot (##-####)Mgmt Lot (M-######)T2X Lot (T2X-#####)
1. DECAL #*
##-####
1. MGMT DECAL #*
M-######
1. T2X DECAL #*
T2X-#####
1. COMMENTS*
DECAL UPLOAD -Uploaded images of the decal does not constitute returning the permit.*

Browse Files - Multiple Files can be Uploaded HERE
The physical decal must be returned to the Parking Office by the 4th. Cancelof

END
Uploaded images of the Decal do not constitute returning the permit.

The current parking decal must be physically returned (even in pieces) by the 4th of the month to avoid charges for the current month up to the expiration date printed on the parking decal. For example, if the current parking decal with an expiration date of Dec 31st is returned on August 4th, the company will not be charged beginning the month of August.

The date the decal is physically returned to the Port Parking Office will be used as the cancellation date of the permit; furthermore, this date will be used to calculate the appropriate monthly parking charges.
Return Parking Permit Checklist
RETURNED BY*

First NameLast Name
Signature*

Clear
DATE*

MonthDayYear
Date
Print this form and return it along with the physical parking permit(s) in order to avoid additional monthly parking fees.
BELOW IS FOR PORT USE ONLY
Are all the returned permit #s listed correctly? (Check mark beside the permit #s from the JotForm Table)

YesNoOther

RECEIPT FOR VOID/RETURNED PARKING DECALS