New York State Office of General Services

New York Office General Services Parking Management

EMPLOYEE PARKING PROFILE


	First Name:	*	NYS Employee ID Number:	* * *	(Including the 'N')
	Middle Initial:		Driver's License Number:	* *	(last five digits)
	Last Name:	*	Social Security Number:	* *	(last four digits)
	Last Name on Driver's License (If Different):

	Contact Email:		* *
	Confirm Contact Email:		* * *
	Contact Phone Number:		* * - * * - * * Ext. *


	Parking Zone:		-
	Agency:		*

	License Plate Numbers (Max 3):	State of Issue:	License Plate:
		*	*
			* *
			* * * *

	What type of Permit would you like?	IndividualCar Pool *
		View Lot List


		*