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Collects agency, employee details, permit type, employment status, effective date, pay period, parking lot/ramp, badge and permit numbers, and last 4 SS digits for payroll deduction. Includes instructions for submitting completed signatures, confirmation of valid driver’s license, and notice to applicants on fees, enforcement, and responsibilities. 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Incomplete or illegible applications will be returned.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is parking fee payment handled for state employees?",{"text":114,"@type":110},"Only the last 4 digits of the social security number are required for direct payroll deduction of parking fees. 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Incomplete or illegible applications will be returned.  \n*Parking coordinator use only  \n\n| Subscriber Name Print Clearly |  |  | Last 4 Digits of SS \\# Required | *Parking Lot/Ramp | *Lot Code |\n| --- | --- | --- | --- | --- | --- |\n| Agency / Division | Badge \\# for MT and HF |  |  | *Permit Number |  |\n| Work Address |  | Work Phone \\#\u003Cbr>( ) - - |  | *\\# of Stickers Received |  |\n\nEmployment Status  \nType of Permit  \nPermanent  \n Full Time  \n Part Time  \nLimited Term / Seasonal  Night  \n Individual  Car Pool  Disabled  Agency Pool Vehicle  \n Contract  \n Motorcycle Management  \nStall Share select days stall is needed  M T W Th F  \nParking Fees  Individual Subscriber  \n Payroll Deduction (all state employees)  \n Check or Money Order (motorcycle or contractors)  Agency Billed  \n*Valid Drivers License Confirmed By Coordinator  Yes  \nNotice to Applicants / Subscribers  \n1. Management is not responsible for loss of articles, damage, or theft of vehicles. Subscribers park at their own risk.  \n2. The parking fee is $   each 14 day period month season  \n3. Management reserves the right to terminate parking privileges for violation of parking rules (Admin. Code 1.09) .  \n4. For car pools, each car pool member will be required to prepare a Car Pool Member Information Verification (DOA-8126) . Subscriber verification of car pool members will be required on a quarterly basis.  \n5. Original subscriber is responsible for following Capitol Police Rules & Regulations. You as the subscriber are also responsible for making sure payments on your pay stub are correct. Contact coordinator with problems or changes.  \nBy signing below I hereby signify that I have read, understand and agree to adhere to all parking rules and procedures. I also understand that falsification of any information on this application will result in the cancellation of all parking  \nprivileges.  \n\n| Subscriber Signature | Agency Parking Coordinator Signature | Date mm/dd/ccyy |\n| --- | --- | --- |\n\nOnly the last 4 digits of your social security number are required for direct payroll deduction of parking fees.  \nThis form may be made available in alternate formats to individuals with disabilities upon request.  \nAgency Parking Coordinator – distribute copies to:  DOA Parking Administrator  Agency Payroll  Subscriber  \nTHE PERMIT SYSTEM  \nThe original permit holder is responsible for parking violations by any alternates. Permit numbers must be fully visible from outside the vehicle to be legal.  \nSticker and daily permits must be located in the lower corner of the driver side of the front windshield.  \nHanging tag permits must be hung from the rear view mirror. Expired permits whether original, alternate or daily must be removed before displaying a new valid permit. All vehicles must display a valid permit number or may be subject to enforcement action.  \nOnly one vehicle per permit number may park at any one time in a lot. Additional vehicles with that permit number may park only if they display a valid daily parking permit. If an original and an alternate park at the same time, the illegally parked vehicle will be cited.  \nPermit Cancellations  \nUpon cancellation of your parking permit, payroll deductions will continue until all original, duplicate and alternate permits have been returned to the parking coordinator. This money is non-refundable.  \nParking Regulations  \nOperators are encouraged not to back into stalls.  \nAll vehicles must park within designated sta","cbCaidf6gM9PsytP","https://ap.wps.com/l/cbCaidf6gM9PsytP","pdf",169937,"English","# Parking Permit Application\n## Submission and Applicant Notices\n## Permit System and Display Requirements\n## Permit Cancellations and Payroll Deductions\n## Parking Regulations and Penalties","[{\"question\":\"Where must the completed and signed application be submitted?\",\"answer\":\"Submit the completed and signed form to your Agency Parking Coordinator. Incomplete or illegible applications will be returned.\"},{\"question\":\"How is parking fee payment handled for state employees?\",\"answer\":\"Only the last 4 digits of the social security number are required for direct payroll deduction of parking fees. Other options may be used for motorcycles or contractors (check/money order) or agency-billed arrangements.\"},{\"question\":\"What happens if the parking permit is cancelled?\",\"answer\":\"Payroll deductions continue until all original, duplicate, and alternate permits have been returned to the parking coordinator, and the money is non-refundable.\"}]","DOA-8124 - Parking Permit Application - DOA/DFTS Data Entry | PDF",1789840492]