PAYROLL DEDUCTION





EMPLOYEE INFORMATION
First Name:   Last Name:  
NMSU Email Address:   Aggie ID#:  
Mailing Address:   City,State & Zip:  
Employee Type:  

VEHICLE INFORMATION
License Plate State:
License Plate Number:
Vehicle Make:
Vehicle Model:
Year:
Color:

PERMIT INFORMATION
The standard issue permit is a transferable permit which can be moved between vehicles

Select Permit Type Desired:

Additional Permits($305.25)


By submitting this form you authorize the permit price to be deducted from your paycheck and also certify the vehicle listed above has a current registration.

You will receive a copy of this form via email address above confirming submittal of this form

Please print your confirmation email when submitting this form and place it on the dash of your vehicle. This will serve as a temporary permit for three weeks until you receive your permanent permit in the mail