Accessible Parking & Transportation Request Form
About You
Name
First Name
Last Name
WashU ID Number
Email
example@example.com
School/College
Arts & Sciences
Brown School
Olin Business School
Sam Fox School of Design & Visual Arts
School of Engineering & Applied Science
School of Law
School of Medicine
Status
First Year
Sophomore
Junior
Senior
Graduate/Professional
Other
Your Transportation Request
What is your location of residence?
On Danforth Campus (South 40 or The Village)
Off Campus (The Lofts, Rosedale Ct, Kingsland Ave, Washington Ave or other off campus location)
Is your need for accessible transporation due to a temporary or permanent disability?
Temporary Disability or Need
Permament Disability or Need
On what date do you request accessible transportation to begin?
-
Month
-
Day
Year
Date
On what date do you request accessible transportation to begin? Please check all that apply.
8:00 a.m.-5:00 p.m.
5:00-10:00 p.m.
10:00 p.m.-2:00 a.m.
Do you currently have a WUSTL parking permit?
Yes
No
Documentation
Have you previously submitted documentation to Disability Resources?
Yes
No
Upload your documentation.
Browse Files
Drag and drop files here
Choose a file
Please upload documentation for your disability or need.
Cancel
of
Please verify that you are human
*
Submit
Should be Empty: