University of California Santa Cruz
Transportation and Parking Services
1156 High St., Santa Cruz, CA 95064

2021 - 2022 Retiree Parking Permit Application
Applicant Information
Last Name
First Name
Middle Initial

Residential Address

Employment Status
Permit and Bus Pass Selection
Choose one of the following complimentary options:

Free SCMTD Bus Pass

I would like to receive a Metro (SCMTD) Bus Pass.


Free Motorcycle Permit

Free Motorcycle permit. Not valid in metered spaces.


Free A Parking Permit

Good for close in parking in A spaces, not including metered spaces.

Disability-Related Parking Needs
Select one of the following if applicable:
I have a DMV Placard or plates that I will display with my UCSC Retiree Parking Permit to park in ADA spaces (or other non-reserved spaces) on campus.

I do not have a DMV Placard or plates but need closer parking for medical reasons. 
I am submitting the required authorization from a medical practitioner, the Disability Resource Center, or the Health Center, confirming my need for disability-related parking in Medical spaces. I understand that I will not be allowed to park in ADA spaces.

Delivery Options
Vehicle Information
Enter your license plate number.
If applying for programs only (such as a Metro Bus Pass) enter 123456 in the Vehicle 1 field.
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
I acknowledge that my signature below authorizes UCSC Transportation & Parking Services to issue the items I have selected on this application. It also authorizes a one-time deduction and/or charges to my credit card for these items. My signature indicates I have provided accurate information and that I agree to abide by all campus parking policies, regulations and procedures. I agree to be responsible for the cost of all unexpired items until they are returned for cancellation to the TAPS Sales Office, regardless of use. I acknowledge that TAPS assumes no liability for items lost in the mail. Lost items will be subject to a replacement fee.No refunds will be given if permits are not picked up at the TAPS Sales Office.

Email Notifications

I would like to receive occasional email updates and reminders from TAPS. I understand that by opting out of emails, I may not receive notifications and reminders regarding parking permits..

Signature Date
Comments and Submission