Bike Registration and Permit Request Form

New Form for 2023-24

Name*
First Last
UT ID number*

This is 6 digits - i.e. 123456
Local Street Address*
Street Address Address Line 2 City ZIP Code
Cell Phone Number*
E-mail*
Bicycle Registration Information
Please complete the following information*
Serial Number Bicycle Make Bicycle Model Bike Color
FOR OFFICE USE ONLY
Permit #(s)
Date Issued
Who has fulfilled this request?
First Last
Request fulfilled by
- Parking & Transportation
- UT Outdoor Pursuits

The flagship campus of the University of Tennessee System and partner in the Tennessee Transfer Pathway.