Attachment_L6_-_Temporary_Parking_Application.pdf

DEPARTMENT OF DEFENSE WASHINGTON

HEADQUARTERS SERVICES

1155 DEFENSE PENTAGON

WASHINGTON, DC 20301-1155

Pentagon Heating & Refrigeration Plant *Temporary Parking Request Application*

Temporary Parking will be granted on a case by case basis and requires HRP Management Approval. Please fill out the following information below to request temporary parking. You will receive a follow up email providing you with information on whether or not your temporary parking request has been approved or declined.

I – Visitor Information: Please enter information about the visitor(s) that will be in the vehicle.

Visiting Group/Company Name: _________________________________

1. Last Name: _________________ First Name: ___________________ Middle Name: _______________

2. Last Name: _________________ First Name: ___________________ Middle Name: _______________

3. Last Name: _________________ First Name: ___________________ Middle Name: _______________

4. Last Name: _________________ First Name: ___________________ Middle Name: _______________

II – General Clearance Information: Please enter the following information about the parking clearance.

Days Of Clearance: Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Arrival Start Date: ______________ Expiration Date: ___________ Time Of Visit: _________________

III – Vehicle Type and License Plate Information: Please indicate the type of vehicle the visitor will be arriving in.

License Plate Number: ____________________ License Plate State: ___________________

IIII – Visitee Information: Please complete the following information about the person or office you are visiting.

1. Last Name: _________________ First Name: ____________________ Middle Name: ________________

Visitee Phone Number: ____________ Visitee Room Number: ______________ Office: __________________

Purpose Of Visit: