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Visitor Parking Waiver Form

If you are a visitor to our campus and you received a parking citation, please fill out and submit this form.
* Last Name:
* First Name:
* Visiting:
* Date of visit:
* Citation Number:
* Driver's License Number:
* State:
* Address:
* City
* State:
* Zip Code:
* Phone:
* Vehicle Year:
* Vehicle Make:
* Vehicle Model:
* Vehicle Color:
* License Plate:
* State:
* I hereby certify that I was a visitor on the ULM Campus and request a waiver of this citation. I further certify that I am not a student enrolled in classes, or an employee of ULM.
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Required fields denoted with *