Medical parking permit application - emmc 2026

1. Click ‘Get Form’ to open the Medical parking permit application in the editor.
2. Begin by selecting your status from the options provided: Student, EMMC Employee, EMH Employee, or Other. This helps identify your eligibility for the permit.
3. Fill in the Applicant Information section with your name, address, city, state, ZIP code, and daytime telephone number. Ensure all details are accurate for processing.
4. Provide information about your vehicles. Enter the make, model, and license plate number for both Vehicle #1 and Vehicle #2 as required.
5. Review the acknowledgment statement regarding parking regulations and ensure you understand it before signing.
6. Complete the Physician's Statement section by having your physician fill out their details and sign where indicated. They must also check any applicable restrictions that apply to you.
7. Once completed, return this form to Security Parking Manager c/o Facilities via fax at 973-7763.

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