Metrorail / Tri-Rail Cancellation Form

Metrorail / Tri-Rail Cancellation Form

THIS FORM MUST BE SUBMITTED BY THE 14TH OF THE MONTH IN ORDER TO CANCEL FOR THE FOLLOWING MONTH.

After submitting this form, you will receive an e-mail to acknowledge this request. *Asterisks indicate required fields.

Employee ID#:*

C# or Workday ID

First Name:*

Middle Initial:

Last Name:*

University of Miami Email Address:*

Department:

Preferred Phone:

Phone

PLEASE INDICATE WHAT FORM OF TRANSPORTATION YOU ARE CANCELING.

Permit Type*

Metrorail Pass Only

Metrorail Pass with Parking

Tri-Rail

Card #*

I HEREBY REQUEST THAT THE UNIVERSITY OF MIAMI CANCEL MY SELECTION ABOVE. I UNDERSTAND THAT MY NOTICE MUST BE SUBMITTED ON OR BEFORE THE 14TH OF THE MONTH TO STOP THE SUBSEQUENT TRANSIT PASS AND CHARGES.

Signature*

Public Safety Administration Office

1501 NW 9th Ave. Suite 100 Miami, FL. 33136

Office: (305) 243-6280 (2)

Email: ppasses@miami.edu

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