MONMOUTH
UNIVERSITY
Employee Vehicle Registration Form
Police Department
Saturday, December 20, 2014
**  Required Fields.  
First Name ** Last Name **
Employee ID **
nnnnnnn
E-Mail Address **

Home Address ** City **
State ** Zip Code **
Home Phone **
(nnn) nnn-nnnn
Office Phone **
(nnn) nnn-nnnn

License Plate ** State **
Style ** Color **
Make of Vehicle ** Year of Vehicle **

Are you the registered owner? If not, provide owner's name

Employee Type
Department Title

Is this form replacing a previous registration form?
Previous Decal Number or Vehicle Description

I agree to abide by the rules and regulations governing the use of motor vehicles on the Monmouth University campus
as set forth in the Parking & Traffic brochure. I understand that Monmouth University is in no way liable for personal
injury, damage, or loss of parts or contents of vehicles.
Created By
Monmouth University
Administrative Information Systems