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The use of campus parking areas is regulated for optimum benefit of patients, visitors,
employees, contracted staff and volunteers.
Parking Office
Lot 6, Parking Garage
First Floor
914.493.7932
Frequently Asked Questions
Please complete this form to initiate deductions from your paycheck for monthly
parking fees.
I hereby authorize Westchester Medical Center to withhold from my paycheck my parking fees. I authorize the
deduction of my monthly parking fee and all late fees or additional parking fees. This shall include any future
increases to the monthly parking fee. The monthly fee listed below reflects the monthly fee as of the date of
this agreement. This authorization will remain in effect until all amounts due have been paid.
I acknowledge that it is mandatory to be enrolled in payroll deduction for parking fees and cannot cancel this
authorization if I remain on the payroll of Westchester Medical Center and continue to utilize parking services
in any manner described by the Hospital's parking policy. Cancellation, if applicable, shall not cancel any
payments due for prior period parking.
I also understand that I am responsible for payment of all fees related to parking and agree to pay all fees by
check, credit card or other means accepted by Westchester Medical Center if my deduction is delayed or if
Westchester Medical Center is unable to receive the full amount owed through payroll deduction for any
reason. Westchester Medical Center reserves the right to determine the deduction schedule. Deductions will
typically be made at the rate of 50% of the monthly rate in each of the first two pay periods of each month
(for a total of 24 deductions per year).
I have read the foregoing and agree with the provisions outlined.
__________________________________________________________
Name (Print Clearly) Badge/ID Number
_____________________________________
Signature
Lot
Date
Card #
Rate $20
Activation
$10
Customer Information
Name:
Last First M.I.
Address:
Street Address Apartment/Unit #
Phone: Email
Direct Supervisor:
Car Information
State ID:
Notes
1
Disclaimer and Signature
To better serve you, we must maintain accurate records for our files. Please keep us informed of any changes in regards
to the following: name, automobile ownership, business or home address, telephone numbers or license plate numbers.
st
Monthly parking fees are paid in advance and are due on the 1 day of each calendar month. NO EXCEPTIONS.
th
Payments are past due after the 5 day of each month and a late fee of $15 will apply. There will be an activation fee of
$10 for all new accounts.
Contract parkers are entitled to one parking space. Vehicles parked over stall lines will be issued a warning citation for the
first violation. Upon issuance of a second citation, vehicle may be towed at operator’s discretion. ABM HSS and
Westchester Medical Center, do not guard or assume care, custody, or control of your vehicle or its contents and are not
responsible for loss by fire, damage, or theft. ARTICLES LEFT IN CARS ARE THE CUSTOMER’S SOLE
RESPONSIBILITY. REMOVE ALL VALUABLES FROM SIGHT AND LOCK YOUR CAR.
This agreement is made by and between Customer and ABM HSS (as Operator), its legal representatives, heirs and
assigns: customer agrees that no third party shall be held liable for the performance of any of the terms of this agreement
except as shall otherwise be provided by law. Failure to follow instructions from parking management personnel may
result in revocation of parking privileges. All monthly parkers are subject to WMC policy HR-6A “Parking Operation for
Staff” and any other policies that govern parking on or near the Valhalla campus. By signing this document, you agree to
abide by any such policies.
Signature: Date:
Print Name: