KSU Motor Vehicle Registration

KSU Parking Permit Registration

MOTOR VEHICLE REGISTRATION
University Police Department, Kentucky State University (502) 597-5986 or (502) 597-6877

SECTION A: Driver Information

Name:

(Last name)

(First name)

(Middle initial)

Campus Address:

(Room and dorm)

Campus Phone:

(5555)

Home Address:

(Number and street)

Home Phone or
Cell Phone:

(555-555-5555)

Home City:

Home State:

Home Zip:

Birthdate:

(mm/dd/yy or click the button)

Sex:

Male

Female

Submit Date:

KSU ID:

(8 digits)

KSU Dept:

(Faculty and staff only)

Driver License
Number:

(Driver license number)

Driver's License State:

(State that issued license)

Email:

SECTION B: Primary Vehicle Information

Primary Vehicle Information
Plates:		State:
Handicap Permit No.		Handicap Permit State:
Year:		Color:
Make:	( Example Honda, Ford, Toyota, Lexus)	Model:	( Example Civic, F-150, Prius, RX)
Primary Vehicle Owner Information (If driver is owner of this vehicle, If not, complete the following.)
Name:	(Last)	(First)
Address:		City:
State:		Zip:

SECTION C: Secondary Vehicle Information (Optional)

Secondary Vehicle Information
Plates:		State:
Year:		Color:
Make:	( Example Honda, Ford, Toyota, Lexus)	Model:	( Example Civic, F-150, Prius, RX)
Secondary Vehicle Owner Information (If driver is owner of this vehicle, If not, complete the following.)
Name:	(Last)	(First)
Address:		City:
State:		Zip:

SECTION D: Next Steps
Please review your information for accuracy before submitting.
Once thisinformation is submitted, you are required to bring the following documentation in person to the KSU police department:

On-Campus Students	Off-Campus Students
Your current, valid KSU student ID Your valid driver's license Your current vehicle registration Proof of your current auto insurance Proof of your current dorm assignment (wihch can be printed from WIRED)	Your current, valid KSU student ID Your valid driver's license Your current vehicle registration Proof of your current auto insurance
On-Line Students	Faculty and Staff
Your current, valid KSU student ID Your current class schedule Your valid driver's license Your current vehicle registration Proof of your current auto insurance	Your current, valid KSU employee ID Your valid driver's license Your current vehicle registration Proof of your current auto insurance

After completion of this process you will recieve your parking permit.
Thank you