CUMC Guest Parking Application

This form is to be used by Columbia University Medical Center Administrators to request courtesy parking for guests.

Effective July 1st, 2010 the fee will be $20 per day (or portion of day), per guest. Fees will be charged to the ARC chartfield listed on the form. Once approved, refunds cannot be issued.

After approval, you will receive an email confirmation. If you provide your guest's email address, we will send them a copy as well.

All guest parking requests will be assigned to the Russ Berrie lot located at 1150 St. Nicholas Avenue (entrance on Audubon Avenue between 167th and 168th Streets).

If you have any questions, please call the CUMC Parking Office at 212-305-1056.

Contact Name:
Contact Email:
Phone Number: ### - ### - ####

Name of Guest:
Vehicle Make:
Vehicle Model:
Plate Number (if known):
Date Needed: (MM/DD/YYYY)
Approx. Arrival Time:
Optional email address to send additional confirmation:
Additional optional email address for confirmation:

Please type the full chartstring where the $20 should be charged