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  • Department of Public Safety
  • Stoneman Building
  • Mailstop 066
  • Brandeis University
  • P.O. Box 9110
  • Waltham, MA 02454


  • Phone:
  •   non-emergency:
  •     (781) 736-5000
  •   Parking Office:
  •     x64250
  •   emergency:
  •     (781) 736-3333

  • Fax (781) 736-8696


  • Director of Public Safety
  • Edward Callahan
  • Phone (781) 736-4240
  • Fax (781) 736-4241

Application for Motor Vehicle Permit


All fields required
First Name: Last Name:
Address (home):
City: State: Zip:
Brandeis Address (Department, Residence or Local and mail box or mail stop number)
Phone (day): Email:
Status:


Vehicle Information

Make: Model: Year: Color:
License Plate #    State Expiration

I hereby agree to abide by the rules and regulations governing the use of motor vehicles on this
campus. Regulations are available here, or can be picked up at the Parking and Traffice Office.

I agree that Brandeis may use the necessary procedures to enforce these regulations, including
booting and towing at owner's expense. Though precautions will be taken, the university will not be
responsible for damage incurred to any vehicle.

This page was last modified on April 07, 2008