parking-fee-opt-out-form

Students who can prove that they do not use Palm Beach State College transportation facilities at any campus may submit a Parking Fee Opt Out Form to any campus Dean of Student Services. The opt out form will be reviewed and, if approved, the Parking Fee will be exempted from the student’s registration fees. Students with an exempted fee are not eligible for a parking decal. Parking fines will be doubled for those who have an approved opt out form and are ticketed for parking without a PBSC permit, regardless of vehicle ownership.

The Parking Fee includes, but is not limited to, the use of bus waiting areas, drop off points and bicycle facilities. Lack of car ownership or driver’s license is not sufficient grounds to opt out.

The deadline for submitting the opt out form is the last day for 100% refund for credit classes (dates listed on the registration calendar) and prior to the first class meeting for non-credit classes. Students must attach a copy of their class schedule. A new opt out form must be filed each academic term before the deadlines mentioned above.

If you have questions, please contact your campus Dean of Student Services.

Student ID

Student Name*

First NameLast Name

City*

State*

Zip*

Phone Number*

FallSpringSummer

Reason for Opt Out*

By typing my full name below, I agree that all information provided in this form is accurate, complete, and truthful to the best of my knowledge.

Date*

MonthDayYear

Students who have a change in circumstances and need to obtain a parking permit after an opt out has been approved, should follow the procedure for obtaining a replacement parking decal and pay the appropriate replacement fee.

YesNo

Decal #

Campus Security Staff Signature*

Date*

MonthDayYear

YesNo

Appropriate Signature*

Date*

MonthDayYear

Exemption added by*

print name

Date*

MonthDayYear

Parking Fee Opt Out Form

College Use Only