A NewcastleUniversity Smartcard is required to support this Application. Please see information overleaf before completing this form.
I hereby apply for a parking permit to use the Newcastle University’s car parks and I accept the conditions of issue as detailed in the Car Parking Policy (Form CP6), as approved by Newcastle University Council.
PLEASE NOTE: New Applications for Parking Permits can only be processed between 1st – 12th of each month.
Please completeALL details below in BLOCK CAPITALS:
Full Name / …………………………………………….(Please also State Prof, Dr, Mr, Mrs, Ms or Miss, etc.)
Smart Card No / …………………………….…….……….. / Vehicle Details
Appointment / …………………………………..……….. / 1st Vehicle / 2nd Vehicle
Department / ……………………………………………. / Reg. No. / ……………………. / …………………….
Dept. Tel. Ext. / ……………………………………………. / Make / ……………………. / …………………….
Date of Birth / ……………………………………………. / Model / ……………………. / …………………….
Home Address / ……………………………………………. / Colour / ……………………. / …………………….
…………………………………………….
Where your partner may drive your vehicle and also holds a valid Newcastle University Smartcard, enter their details below
Partners Name ...... Partners Smartcard Number ......
Vehicle Registration Document - required for all applications: You must provide a copy of the Vehicle Registration Document(s)/Rental Agreement(s) showing that you are/your partner * is the registered keeper/long term hirer of the vehicle(s) above. If the Vehicle Registration Document(s) is/are not available (i.e. when at DVLA for amendment), your application will still be processed, but you must send a copy in as soon as you receive it, failure to provide this document may lead to possible cancellation of your Parking Permit.
* Must co-habit at the permit holder’s address.
Payment method. Please tick, and where necessary complete one of the following Payment methods.
a) Free – for Disabled, Lay Court and Council Members only.
b) A Cheque or Cash for £ ...... (Please make cheques payable to ‘Newcastle University’)
c) / Salary Deduction Authorisation for Private Vehicles:-I hereby give authority to deduct the appropriate parking charge from my salary/wage
Signature ...... Date ......
Total Amount £ ...... **(Appropriate amount for the tariff charge is shown overleaf)**
Please select preferred payment method for private vehicles from options below
Pay and display
One lump sum payment (deducted from salary)
/ Other (Reserved, etc)
One lump sum payment (deducted from salary)
Monthly instalment (deducted from salary)
d) / Account Transfer Authorisation for permits paid for by department:-
I hereby give authority to deduct the appropriate parking charge from the Account code stated below
Account Code...... Total Amount £ ...... Date ......
Authorised Signature* ...... Print Name ......
*Signature must be that of the budget holder
Completed application forms and required document(s)/payment should be returned to:
ESS Helpdesk & Admin Office, ESS, Newcastle University, 1st Floor, Agriculture Building, Newcastle upon Tyne, NE1 7RU
ESTATE SUPPORT SERVICE OFFICE USE ONLY / RefundsPermit Type / SAP - Vehicle Details / / Cancel Date
Date Entered / SAP - Payment Details / / Refund amount / £
Payment Method / Date refund req
SMARTCARDS
All applications for Parking Permits must be supported by a smartcard. The person applying for a car parking permit, whose partner may use the same vehicle and holds a Newcastle University smartcard should enter their partner's smartcard number in the space provided on the front of this form. Only the person applying for the parking permit will be charged the applicable tariff.
Example of Smartcard
/ Example of Smartcard***Please note! Your Smartcard may show different wording and/or different colours to that shown. Please quote the number across the middle of the Smartcard as your Smartcard Number.
DO NOT use the number under the Bar Code.
TARIFF OF CHARGES
The charges for a parking permit valid from 01.10.13 to 30.09.14 is fixed in accordance with the date of issue as follows:
When Date of Permit Disc Issue is between: / Pay and display / Departmental / Reserved* / Tenants(now includes commercial) / Disabled
or
Lay Court / Council Members only
£ / £ / £ / £ / £
01.10.13 - 31.10.13 / 50.00 / 600.00 / 1320.00 / 2059.92 / 0
01.11.13 - 30.11.13 / 50.00 / 550.00 / 1210.00 / 1888.26 / 0
01.12.13 - 31.12.13 / 50.00 / 500.00 / 1100.00 / 1716.60 / 0
01.01.14 - 31.01.14 / 50.00 / 450.00 / 990.00 / 1544.94 / 0
01.02.14 - 28.02.14 / 50.00 / 400.00 / 880.00 / 1373.28 / 0
01.03.14 – 31.03.14 / 50.00 / 350.00 / 770.00 / 1201.62 / 0
01.04.14 – 30.04.14 / 25.00 / 300.00 / 660.00 / 1029.96 / 0
01.05.14 – 31.05.14 / 25.00 / 250.00 / 550.00 / 858.30 / 0
01.06.14 – 30.06.14 / 25.00 / 200.00 / 440.00 / 686.64 / 0
01.07.14 – 31.07.14 / 25.00 / 150.00 / 330.00 / 514.98 / 0
01.08.14 – 31.08.14 / 25.00 / 100.00 / 220.00 / 343.32 / 0
01.09.14 – 30.09.14 / 25.00 / 50.00 / 110.00 / 171.66 / 0
Monthly Payment / n/a / 50.00 / 110.00 / n/a / n/a
One off payment / 50.00 or 25.00 / n/a / n/a / n/a / n/a
Any changes which affect the particulars on this application form must be reported to Estate Support Service by any of the following methods:
Email:
Telephone: 0191 222 7171
Post: ESS Helpdesk & Admin Office, Estate Support Service, Newcastle University, 1st Floor, Agriculture Building, Newcastle upon Tyne, NE1 7RU
If the applicant leaves University employment, the permit disc must be returned to ESS Helpdesk & Admin Office, Estate Support Service, Newcastle University, 1st Floor, Agriculture Building, Newcastle upon Tyne, NE1 7RU
Refunds
Parking permit fees are non refundable with the exception of pre-paid reserved permit holders.
For a reserved permit surrendered before the 30th September 2014, a pro-rata refund will be made for each complete month which remains unexpired on the date of surrender, providing payment was made in full, subject to a minimum payment equivalent to three months. Permit disc must be returned to obtain a refund.
Useful Contacts
Queries relating to Smartcards:Robinson LibraryTel: 0191 222 6060
General queries relating to Car Parking:ESS Helpdesk & Admin Tel: 0191 222 7171
Email:
Web:
Visitor Parking Book online at
Queries regarding Pay and Display Security Control: Tel 0191 222 6817