Payroll Deduction Registration

Campus ID#   

First Name   

Last Name  

Department  

Building  

Room  

Work Phone Number

Email  

Permit Type Faculty/Staff (A - Permit for Faculty/Staff): $100.00 per month Faculty/Staff (A1): $100.00 per month Carpool (C-Permit): $50.00 per month One Day Intermittent Pass (A- Permit for Faculty/Staff ): $26.00 per month Two Day Intermittent Pass (A- Permit for Faculty/Staff ): $52.00 per month Three Day Intermittent Pass (A- permit for Faculty/Staff): $76.00 per month  

Permit Length

I accept responsibility for any enforcement action that may be taken due to my providing either inaccurate or incomplete registration information. I also agree to read and abide by all signage and written regulations.

I accept the Parking Registration/Regulations Acknowledgement (click here to view Parking Regulations)

I authorize Seattle University to deduct the current monthly parking fee from my paychecks.  I understand that payroll deductions will continue until such time as the assigned parking permit is returned to Campus Public Safety or when the permit expires (whichever occurs first).

I accept the Payroll Deduction Authorization

I accept the Continuous Payroll Deduction Authorization

I elect to waive the opportunity to participate in the Seattle University Pre-Tax Transportation Plan. I understand that by waiving participation the monthly parking fee will be deducted from my paycheck after all federal taxes have been withheld.

I accept the Pre-Tax Transportation Plan Waiver (read carefully before selecting this option)

By clicking "Submit" below, you verify that everything stated on this form is true and you authorize Seattle University Payroll to deduct the current monthly parking fee from your paychecks.

Other Notes