Authorization: I understand that failure to obey the parking rules and regulations can result in parking violations. Should I receive parking violations, I hereby authorize Penn State Health Milton S. Hershey Medical Center, or Penn State College of Medicine to payroll deduct me or contact my parent company/student organization for compensation at the applicable rate. I understand that the parking sticker is the property of Penn State Health Milton S. Hershey Medical Center and Penn State College of Medicine and must be surrendered upon request. 

By typing my name into the name field below, this will serve as my signature and I agree to the terms listed above and have provided correct information to the best of my ability.