Permit Cancellation Form

 
  Personal Information
First Name *
Last Name *
Email Address *
Confirm Email Address *
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Phone Number *
XXX-XXX-XXXX
Alternate Phone Number
XXX-XXX-XXXX
Home Address *
City *
Province/State *
Postal/Zip Code *
 
  Permit Information
Permit Number
Permit Type *
Surface Lot Parkade On-Street
Location (if applicable)
Cancellation Date *
Reason for Cancelling
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Permit Cancellation
Terms and Conditions *
As per the Terms and Conditions of the Parking Agreement, one calendar month’s written notice is required for cancellations. The cancellation must be received by the Winnipeg Parking Authority by the 1st of the month for cancellation to be effective on the last day of the month. The 1 month notice period will not start until this form has been successfully received by the Winnipeg Parking Authority. Failure to submit the form with proper notice prior to the requested cancellation date will result in charges continuing until a month’s notice has been provided. All parking equipment (transponders, access cards) must be returned to the Winnipeg Parking Authority Office (495 Portage Avenue, Winnipeg, MB R3B 2E4), by the 5th day in the effective cancellation month - after this time any equipment deposits would be forfeit.
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  I accept the above terms and conditions.*
 
Affirmation * I affirm the above to be true and correct *
Please type your name as it appears above that this report is true and correct *

 

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