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.

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*
Date Purchased*
Date Format: 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*
Date Format: MM slash DD slash YYYY

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