MVR Application | Wiley College

Confirmation ID

Name*

First Last

Email Address*

Select One*

Faculty
Staff
Student

Department*

Address*

Street Address Address Line 2 City State ZIP Code

License Plate State*

License Plate Location*

License Plate #*

Vehicle Year*

Vehicle Make*

Vehicle Model*

Vehicle Color*

Are you the vehicle owner?*

Yes
No

Owner's Name*

First Last

Owner's Address*

Street Address Address Line 2 City State ZIP Code

Proof of Insurance*

Accepted file types: jpg, png, pdf, Max. file size: 2 MB.

Driver's License*

Accepted file types: jpg, png, pdf, Max. file size: 2 MB.

The undersigned agrees and acknowledges that the issuance of this permit does not carry with it any rights or privilege. Wiley College will allow the parking of vehicles on college property with a valid permit, and parking is provided on a first come first serve basis. All persons parking their vehicles on campus do so at their own risk, and under no circumstances shall Wiley College be responsible for the loss or damage to any vehicle, its contents or equipment.

Any vehicle without a valid permit or illegally parked may be ticketed, immobilized or towed at the owner’s expense. The holder of this permit understands that any outstanding parking summonses may result in payroll deduction, or the withholding of grades, transcripts and diplomas.

Once you complete and submit this form, you will be taken to the payment page to complete the transaction.

Acknowledgement*

I agree
I disagree

Motor Vehicle Registration