Permit Cancellation Form
 
  Personal Information
First Name *
Last Name *
Email Address *
Confirm Email Address *
Phone Number *
XXX-XXX-XXXX
Alternate Phone Number
XXX-XXX-XXXX
Home Address *
City *
Province/State *
Postal/Zip Code *
 
  Permit Information
Permit Number
Permit Type *
Surface Lot Parkade On-Street
Location (if applicable)
Cancellation Date *
Reason for Cancelling
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Permit Cancellation
Terms and Conditions *
As per the Terms and Conditions of the Parking Agreement, one calendar month’s written notice is required for cancellations. The cancellation must be received by the Winnipeg Parking Authority by the 1st of the month for cancellation to be effective on the last day of the month. The 1 month notice period will not start until this form has been successfully received by the Winnipeg Parking Authority. Failure to submit the form with proper notice prior to the requested cancellation date will result in charges continuing until a month’s notice has been provided. All parking equipment (transponders, access cards) must be returned to the Winnipeg Parking Authority Office (495 Portage Avenue, Winnipeg, MB R3B 2E4), by the 5th day in the effective cancellation month - after this time any equipment deposits would be forfeit.
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  I accept the above terms and conditions.*
 
Affirmation * I affirm the above to be true and correct *
Please type your name as it appears above that this report is true and correct *
 
Verification Code *
 

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PRIVACY AND CONSENT

Your personal information is being collected under the authority of s.36(1)(b) of The Freedom of Information and Protection of Privacy Act and is protected by the Act. This information will be used to verify the permit account pursuant to notification of permit cancellation; for verification of any outstanding fines and or charges, and will not be used or disclosed for any other purposes, except as authorized by law. If you have any questions about the collection of this information, contact the Corporate FIPPA Coordinator by mail at 510 Main Street, Winnipeg MB, or by telephone at 311.