JHMI PARKING SERVICES
	RETURN FROM LEAVE OF ABSENCE / ROTATION FORM
	This form will reinstate your parking assignment. NOTE: Monthly-pay parkers cannot use  this form. You must report to Harvey 108 to re-activate your parking.

(Print this form, complete and fax to 410-502-3907 or submit in person at the Parking Office located in Harvey 108).

Date: ____________________

Name: ______________________________________________________________

Social Security Number: ______- ______- _______

ID Badge Number: ___________________

Employer: ________________________________________________________________

E-mail Address: ______________________

Work Phone: ___________________

This form must be completed on the actual day you return from Leave of Absence or Rotation. Once you complete
and submit this form, your parking will be re-activated and your payroll deduction, if applicable, will resume.