Permit Cancellation Refund Form

Please use this form for purchases made through Credit Cards, Checks and Cash. If you are an employee with a payroll deduction, please use our Payroll Deduction Cancellation Form instead.

For Main Campus Refunds: Any permit cancelled prior to the start of the date the permit will receive a full refund minus a processing fee ($10). Any semester permit cancelled by the last day to drop or withdraw from full-term courses may receive a prorated return minus a processing fee. Semester permits cancelled after the last day to drop or withdraw from full-term courses will not receive a refund. Cancellation requests for annual permits must be received no later than the drop or withdrawal deadline of the Spring semester to qualify for a refund. Monthly permits will not be refunded after the effective date commences.

Name*
First Last
Email*
Current Address (Needed if paid by check, cash or expired credit card)
Street Address Address Line 2 City State ZIP Code

Please enter your current address. Checks will be mailed to this address is payments were paid by cash, check, with an expired credit card, or a credit card transaction that took place six months or more in the past.
Phone*
Amount*
The amount the customer had paid for the permit.
Date Purchased*
MM slash DD slash YYYY

Note: If a transaction took place six or more months ago in the past, Transportation Services will need to contact you to arrange your refund.
Campus*
Parking Location*
Parking location of the permit
Type of Permit*
Start Date of Permit*
MM slash DD slash YYYY

The day a monthly permit becomes effective, as opposed to the date it was purchased on.
Desired Cancellation Date
MM slash DD slash YYYY

Please select when you would like your permit cancelled. You can leave it blank if you want it cancelled immediately, or on submission of this form. Permits cannot be cancelled for time in past. Any permits cancelled for a date prior to the submission of the form will be defaulted to no earlier than the date of submission.
Was the Permit Purchased Online?*
Purchase Method*
Card Type*
Do you know your card number?*
- Yes
- No
Answer no if you do not have the same card number as before or otherwise do not know the card number.
Last Four Digits of Your Card Number

University of Wisconsin-Milwaukee

UW-MILWAUKEETransportation Services