Department Validations Purchase Form

Department Validations Purchase Form

Department Information

Department Name*

Department Number*

Dean, Director or Department Head Name*

Dean, Director or Department Head Title*

Address*

City*

State*

Zip Code*

KFS Account Number*

Method of Payment: Service Billing. Amount will be directly deducted from the KFS Account Number provided. Prices are subject to change, department agrees to pay additional costs associated with rate increase.

Department Contact

Department Contact Name*

UA Email*

Phone Number*

Phone

Validation Purchase

$16 Validations:

Cost per validation $16
1-50 max per order

$8 Validations:

Cost per validation $8
1-50 max per order

$2 Validations:

Cost per Validation: $2
1-50 max per order

Validation Type Requesting*

Select or enter value

Number of Validations*

50 Max per Order

Does the department need a second type of validation?

If yes, check the box below

Validation Type Requesting*

Select or enter value

Number of Validations*

50 Max per Order

Terms & Conditions Department Validations

Department Validations Parking Terms:

Parking validations do not guarantee a reserved space in the garage. Parking is available on a first-come, first-served basis.
Validations are non-refundable and cannot be exchanged.
Validations are not permitted for use by employees, students, or affiliated personnel for parking.

General Enforcement:

PTS will monitor and enforce applicable parking regulations in accordance with the Campus Parking & Traffic Regulations or upon complaint by the department or individual users.

Authorization:

By submitting the KFS (Kuali Financial System) and department information, you authorize the permit cost to be charged to the specified account.
You also confirm that you have read and agree to the conditions for the specified permit type.

Authorized Signer

The department understands that the information supplied on this form is complete and true. Failure to comply with the requirements stated in The University of Arizona Motor Vehicle Parking and Traffic Regulations and Arizona Revised Statutes 49-542 and 15-1627G may result in the assessment of fees, fines, impoundment, other institutional enforcement, and/or disciplinary action.

Terms & Conditions Initials*

Date Signed*

Send me a copy of my responses

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