Navigating the requirements for obtaining or updating a parking permit within the New York State Office of General Services can be a streamlined process with the correct information at hand. The CS 762 form serves as a crucial document in this procedure, catering to individuals in need of either initial registration or updates to their current parking arrangements. Located at the heart of Albany, NY, the Bureau of Parking Management outlines clear instructions on both the front and back sides of the form to ensure applicants can efficiently provide all necessary details. From personal identification, such as name and driver’s license number, to employment and vehicle specifics, the form carefully gathers data to facilitate parking lot assignments, permit issuance, and carpooling arrangements where applicable. It underscores the importance of accuracy in the information provided by requiring an employee signature to certify the correctness of the details submitted. Furthermore, the form is designed to accommodate changes in lot assignments and updates to personal or vehicle information, making it an essential tool for seamless access to parking facilities provided by the state’s Office of General Services.
| Question | Answer |
|---|---|
| Form Name | Form Cs 762 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | CS762 albany state university printable application form |
NYS Office of General Services
Bureau of Parking Management
Concourse Level, Room 130
Empire State Plaza
Albany, NY 12242
www.ogs.ny.gov
INSTRUCTIONS: SEE REVERSE SIDE
PARKING PERMIT APPLICATION/UPDATE
Initial Registration
Update
Need a Decal
Print Name: Last |
First |
MI |
Address: (Street Name and Number) Apt. #.
Driver Lic. ID No
City
State
Zip Code
Bargaining Unit
Agency
Agency Code
Lot Assignment/Permit
Work Address:
Work Phone No.:
PRIMARY PLATE NU M BER
ALTERNATE
ALTERNATE
ALTERNATE
ALTERNATE
ALTERNATE
Will you be participating in a Car Pool? |
No |
Yes (See Instructions before Checking Box) |
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NAME OF CAR POOL MEMBER |
Work Phone No |
Agency |
Motor Vehicle ID No. |
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Home Address:
Email Address:
Plate Number |
Plate Number |
Plate Number |
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Bargaining Unit: |
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NAME OF CAR POOL MEMBER |
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Work Phone No. |
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Agency |
Motor Vehicle ID No |
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Home Address:
Email Address:
Plate Number |
Plate Number |
Plate Number |
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Bargaining Unit: |
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NAME OF CAR POOL MEMBER |
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Work Phone No. |
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Agency |
Motor Vehicle ID No. |
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Home Address:
Email Address:
Plate Number
Plate Number
Plate Number
Bargaining Unit:
Lot Assignment Changes From: To:
I certify that the information provided is correct and true. Employee Signature |
Date: |
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FOR OGS BUREAU OF PARKING MANAGEMENT USE ONLY |
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Permit No.
Lot
Effective Date
Deduction Amount
DISTRIBUTION: |
WHITE – BUREAU OF PARKING MANAGEMENT |
YELLOW – APPLICANT |
INSTRUCTIONS FOR COMPLETING
PARKING PERMIT APPLICATION FORM CS – 762
Name |
Complete this section exactly as your name appears on your Paycheck: Last name, first name, middle |
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initial. Enter 9 digit Motor vehicle identification number. |
Bargaining Unit |
Enter Bargaining Unit Representation (i.e: OBU, M/C, LGE, BUE) |
Agency |
Enter Agency where you are employed. |
Agency Code |
Enter Agency code number as it appears on your paycheck stub. |
Lot Assignment |
Enter your approved parking location. |
Plate Numbers |
Enter plate numbers of vehicles that will be eligible to park. |
Work Mailing Address |
Enter your mailing address phone number and zip code. |
Home or Work |
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Home Address |
Enter your home mailing address. |
Car Pools |
If you will be participating in a car pool, check Yes and complete The information listing the names of |
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all car pool members, the agency where they are employed, their plate number(s), and work |
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telephone number. Valid car pools consist of two or more persons including the permit holder who |
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share a vehicle to and from work. Car pool members must live in the same general location or along |
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the same route to work. |
Lot Assignment Change |
If your lot assignment has changed, check this box and enter change. If your payroll deduction fee |
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changes, you must also submit a new Payroll Deduction Authorization form |
Employee Signature |
Sign your name in full, as it appears on your paycheck. |
Date |
Enter Date |
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NOTE: Include form |
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available from Bureau of Parking Management, Concourse Level, Room 130, Empire State Plaza, |
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Albany, NY 12242, your agency parking coordinator, or online at www.ogs.ny.gov/BU/BA/Parking. |
CS - 762 (11/12) Reverse |
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