Parking Permit Refund Request

Parking permit refund requests must be submitted on or before the appropriate refund deadline. Refund deadline dates vary.

If submission is made after the refund deadline, the refund will not be processed.

Please complete the fields below.

Select Session*

Spring Summer Fall

Name*

First Name

Last Name

Student ID Number*

Chaffey Email*

Emails will only be sent to your Chaffey email; please do not provide alternate address

Parking Refund Amount* $

Permit Number*

Please upload a photo of your parking permit*

No File Chosen

File uploads may not work on some mobile devices.

By signing below, you are confirming that you are no longer going to use the parking permit on any Chaffey College Campus. Parking without a parking permit at the Chino, Fontana or Rancho Campus will result in a parking citation.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date*

2

Cashier Office

Determination*

Approved Denied