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Disability Resource Center

Accessible Parking Application

Student Accessible Parking Application

To apply for accessible parking on campus, please fill out the form below. For employee accessible parking, please contact Human Resources.

Name(Required)

First Last

Trojan ID#:(Required)

Email(Required)

Please provide your UA Little Rock email address.

Phone Number(Required)

Please provide your phone number.

License Plate Number(Required)

Please provide your license plate number.

Parking Lot Preference (First Choice)(Required)

Parking Lot Preference (Second Choice)

Parking Lot Preference (Third Choice)

Parking Permit(Required)

Other

Hang Tag Number

Second Hang Tag Number

If applicable.

Expiration Date

MM slash DD slash YYYY

Comments

This field is for validation purposes and should be left unchanged.

Contact
- Disability Resource Center
- DSC 103
- Phone:
  501-916-3143
  Fax:
  501-916-3068 (fax)
  Email: disability@ualr.edu
- More contact information

Safe Zone
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