Parking Access/Cancellation Form

Windsor Regional Hospital does not assume responsibility for any vehicle or its contents when parked on hospital property.

The hospital does not assume responsibility for damage to vehicles that are immobilized or towed. Payment for parking does not guarantee the individual a parking spot.

By completing this form and providing your license plate, your vehicle will receive an "Electronic Parking Permit" associated with its license plate.

  • Payment for employee parking can only be made by payroll deduction
  • The cost of parking is $17.23 per pay period
  • Minimum cancellation period is 2 consecutive weeks

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Please choose one of the following
 
Please choose the campus below for your electronic parking permit.

 
 
 
 
 
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Please identify your status

 

Access Card #:

This section is to be completed by Ouellette campus staff or employees who work between the two campuses that have Ouellette Parking Access. The access card # is located on the back of your ID badge.

 
 

Vehicle License Plate:

Only 1 vehicle per staff member will be assigned an electronic permit.

 
 
 

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