Authorization: I hereby authorize Penn State Health Milton S. Hershey Medical Center and Penn State College of Medicine to deduct any parking fines/fees I incur from my salary at the applicable rate. I have received an electronic copy of the Parking Rules and Regulations and will receive my parking sticker(s) during orientation. 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.