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6. Vehicle Parking Registration - City of Newark Parking Lot Permit
   If you have been approved for a City of Newark Lot Permit, please complete the following information.
8. Do you have an existing lot permit?*
   -- Select One --YesNo, I would like to purchase a Lot Permit.No, I am due a permit through landlord or employer.
9. Is the Municipal Permit through a Landlord or Business*
   -- Select One --YesNo

   Your landlord or employer will indicate if they offer Municipal Parking Permits spot through their property or business. If they do not, please answer no

11. What is the name of your landlord or employer?*
12. Which area is your Landlord/Business Permit offered?*
    -- Select One --Lot 2Lot 3/4/6Lot 5On-Street** (Specific Locations. See notes under dropdown)

    On-Street Permits are only good on New London (Between Cleveland Ave and E main Street) and  (E Main North Between Library Ave and Pomeroy Trail)

14. Which area would you like to purchase a parking permit in?*
    -- Select One --Lot 3/4/6 (combination permit)Lot 5

    Please visit https://newarkde.gov/1217/City-Lot-Permit-Parking to view lot permit availability and information.

15. January 1 or July 1*
    -- Select One --January 1July 1

    What 6 month term would you like the permit to start?  If not January 1st or July 1st, please contact the Newark Parking Division.

17. First Name*
18. Last Name*
20. Phone Number*
21. E-Mail Address*
23. Address1*
25. Address2
27. City*
28. State*
29. Zip*
31. License Plate/Tag #*
32. State*
    -- Select One --ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINA NORTH DAKOTAOHIOOKLAHOMAOREGONOTHERPENNSYLVANIARHODE ISLANDSOUTH CAROLINA SOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING
34. Vehicle Make (Honda, Ford, VW ...)*
35. Vehicle Model (Civic, Escape, Jetta ...)*
37. Color*
    -- Select One --BeigeBlackBlueBrownGoldGrayGreenMaroonOrangePinkPurpleRedSilverTanTealWhiteYellow
38. Year
42. Lot Rules & Regulations
    I, the signed permit holder, acknowledge the following rules and regulations, and understand the corrective action(s) that could be incurred for violating said procedures.

44. 1.Permits are now digital. You will not need to adhere a permit to your vehicle;

    
    

    2. If there is any change to the vehicle, the Parking Division will be notified prior to vehicle change;

    
    

    3.Permits are not transferable to any other person and a fee may be charged for a change in vehicle;

    
    

    4.If an incident occurs in the parking lot, call the Parking Division immediately to report any issues. If the incident occurs on a weekday after 6PM or on the weekend, call the Newark Police Department (302) 366-7111 to have the police handle the situation;

    
    

    5.Lot permits expire every 6 months. It is the sole obligation of the permit holder to renew the permit before expiration, which can be done ten (10) business days prior to the expiration date with no guarantee to obtain the permit again.

    
    

    6.There will be no reimbursements for cancellations. All permit sales are final for the duration of the agreement;

    
    

    7.We are not responsible for loss or damage due to fire, theft, breakage or collision;

    
    

    8.Permits do not guarantee a space; they only provide a cheaper rate (Exception Lot 5 -- vehicle must be parked in the space you were assigned);

    
    

    9.Permit holders are to park in any available legal parking spaces. (Exception Lot 5 -- vehicle must be parked in the space you were assigned);

    
    

    10. Night/Weekend Permit Holders are only PM on weekdays (Mon-Fri) and all day on weekends. Overnight vehicles must leave the lot by 8 AM the next weekday. Parking outside of these times will result in ticketing.

    
    

    Any questions or concerns, call the Parking Division office (302) 366-7000;

48. Term Agreement & Sign*

    1. I have read the above rules and agree to the terms set forth.
50. Full Name*
    Please type out your full name.
51. Date*
    Date
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field