Please complete this form to request a parking pass behind Clark Hall. We do not keep license plates on file and cannot grant access to incomplete forms. Contact Elizabeth Jackson or ShaRhonda Swann with any questions. field_email: webmaster@virginia.edu 1 Start 2 Complete Name * E-mail * License Plate # * State of License Plate Origin * First day of use * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Last day of use * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Reason for needing parking pass (must be for department business only) * Printer-friendly version