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Zone A Business Employee Parking Permit Application

2. This form is for employees working within the Village of Winnetka to obtain an "A" parking permit, allowing them to park in an employee lot. Please fill out the form below. Once submitted, a Village representative will contact you regarding payment and issuance of your parking permit. Direct all questions to the Finance Department at 847-501-6000.

   This form is for employees working within the Village of Winnetka to obtain an "A" parking permit, allowing them to park in an employee lot. Please fill out the form below. Once submitted, a Village representative will contact you regarding payment and issuance of your parking permit. Direct all questions to the Finance Department at 847-501-6000.

4. First Name*

5. Last Name*

7. Home Address*

9. City*

10. Zip Code*

12. Business Name*

14. Business Address*

16. Business District

    1. Hubbard Woods
    2. East Elm
    3. West Elm
    4. Indian Hill

18. Vehicle Year*

19. Vehicle Make*

20. Vehicle Model*

21. Vehicle Color*

23. License Plate*

25. Email*

26. Phone Number*

28. Proof of Employment

    If necessary, upload proof of employment, including a pay stub or official document stating you are an employee of the business in question.

30. To which address would you like your pass mailed?

    1. Home
    2. Business

31. How will you be paying?

    1. By check (made out to Village of Winnetka for $10 and mailed to 510 Green Bay Road, Winnetka, IL 60093 Attn: Parking Pass)
    2. Digital transaction (we will follow up with a request)

33. Status

    1. Approved
    2. Denied
    3. A Pass Issued

34. Processed date
    Processed date

35. Processed by

37. Notes

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field