Request Type
New Customer
Change Contact Information
Report Card Lost/Stolen
Deactivate Account
Please call our office at (410) 887-3127 ext. 1000 between the hours of 8AM-4PM Monday-Friday to complete this request.
Thank you.
Employer Information
Company Name (
*
)
Department
*
= Required Field
Driver Information
First Name (
*
)
Last Name (
*
)
Address (
*
)
City (
*
)
State (
*
)
ZIP (
*
)
Car Information
Make of Car (
*
)
Model (
*
)
Color
Year
Tag # (
*
)
State Car Is Registered In (
*
)
Contact Information
(
At least one contact number is required
) Home Phone Number
Work Phone Number
Cell Phone Number
Email Address (
*
)
Billing Information
Same as Driver Information.
Bill To (
*
)
Address (
*
)
City (
*
)
State (
*
)
ZIP (
*
)
Parking Information
Garage
Library Parking Facility
Tolbert Parking Garage
Towson Square Parking Garage
The Baltimore and Washington Parking Garages are currently full and not available for new monthly customers.
Effective Date
Skidata Customer
Card Number
