Vehicle Registration

Clarkson University » Campus Safety » Parking

Basic Contact Information
*Required Fields
Last Name*	First Name*

Middle Initial	E-mail Address*

Student/Employee Number*	Phone Number*


Local Address (Dorm, Apartment, Off-campus)
Street or Dorm*	City/Town, State or Room Number*

Postal Code or CU Box(specify box)*


Vehicle Information
Make/Model*	Year*

Color*	License Plate Number*

State/Province*	Commuter/Employee
	Commuter Employee On-campus Resident
Submitting this form signifies that I agree to abide by Clarkson University Motor Vehicle Regulations, all state laws and ordinances of the village of Potsdam pursuant to the operation of this/these vehicle(s). Misuse of the privilege to operate a motor vehicle on campus may result in revocation of this authorization and any other sanction warranted. I also agree to notify Campus Safety & Security immediately of any change(s) in vehicle or license plate information.