HomeMy WebLinkAboutParking DPW Regulations_Maps DEPARTMENT OF PUBLIC WORKS
COUNTY PARKING
REGULATIONS
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REFERENCE TO CHAPTER 24
OF THE HAWAII COUNTY CODE
REVISED SEPTEMBER 2015
County of Hawaii is an Equal Opportunity Provider and Employer.
COUNTY OF HAWAII
COUNTY PARKING REGULATIONS
TABLE OF CONTENTS
1. PURPOSE AND AUTHORITY .........................................3
2. DEFINITIONS ...................................................................3
3. GENERAL PUBLIC PARKING ........................................5
4. CHARGING STATIONS FOR PLUG-IN ELECTRIC
VEHICLES .....................................................................7
5. EMPLOYEE PARKING ....................................................8
6. GENERAL RULES ......................................................... 13
7. ENFORCEMENT ............................................................ 14
8. VIOLATIONS AND PENALTIES.................................... 14
9. OTHER RESTRICTIONS ............................................... 15
% EXCEPTIONS................................................................ 15
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COUNTY OF HAWAII
COUNTY PARKING REGULATIONS
1 . PURPOSE AND AUTHORITY
1.1.The purpose of these regulations is to establish a fair and uniform method
of assigning parking at the County Building, Aupuni Center, and other
county facilities, to maximize efficient utilization of available parking stalls
in accordance with the provisions of Chapter 24 of the Hawai'i County
Code.
1.2. Pursuant to the provisions of Chapter 24, Division 5, of the Hawai'i
County Code, the Director of Public Works shall assign and reassign
parking stalls and be responsible for regulating parking at the County
building and other county facilities.
2. DEFINITIONS
"Accommodation Resource Manager" (ARM) means the departmental
designate who provides assistance, information, and support to decision makers
and employees regarding reasonable accommodation, including processing
requests for additional medical information when needed.
"Applicant" means an eligible employee or servicing agent who applies for
parking in the manner prescribed by the provisions of these regulations.
"County" means the County of Hawai'i.
"Council member" means an elected person from one of the nine council
districts who has legislative authority in the county government.
"County vehicle parking" means a designated area for county owned vehicles
to park. County owned vehicles shall park only in such designated area. If the
facility does not have such a parking area, county vehicles may then park in the
public parking area.
"Electric Vehicle" (EV) means all-electric vehicles that burn almost zero
petroleum.
"Eligible employee" means an officer or employee of the county government
who is employed on a full-time basis in one of the facilities identified in these
regulations where parking is applied for.
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"Government agency" means a county department or agency, and any of the
boards, or commissions of such department/agency.
"Individual with a disability who is qualified" means an individual with an
impairment that substantially limits a major life activity related to mobility who
either possesses a valid disability parking permit and identification card issued to
the individual or is an employee who can justify a need for a reasonable
accommodation with respect to parking as provided in the Procedures for
Providing Reasonable Accommodation to Individuals with Disabilities.
"Mayoral appointee" means an individual appointed by the Mayor to a position
in a government agency.
"Metered stall" means a public parking stall regulated by a parking meter with
fees as determined by the Finance Director. See Schedule A for the rate
schedule.
"Motor vehicle" means a mode of transportation that shall include but not be
limited to automobiles, trucks, vans, and motorcycles.
"Multi-function program manager" means a division head in a government
agency:
a) who manages more than one (1) program function and has supervisory
responsibilities over three or more employees;
b) manages a program function that affects all government agencies; or
c) is rated EM-05 or higher.
"Parking control officer" means the employee(s) or independent contractor
designated by the Director of Public Works to enforce the provisions of these
regulations.
"Parking designations":
a) "Designated parking" means a specifically marked parking space which is
assigned to an eligible employee who is a department head, deputy
department head, secretary to a department head, other mayoral
appointee, or multi-function program manager.
b) "Floating parking" means a specific area of the parking facility that is
unassigned, but designated for use by an employee of a government
agency.
c) "Loading Zone parking" means an area of space in a parking facility that is
used for a short period to park vehicles to load or unload, or for
maintenance vehicles of the county.
d) "Reserved parking" means a specifically marked parking space, which is
assigned to an eligible employee.
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"Parking facility" means a lot, garage, building, or structure, or combination or
portion thereof, in which motor vehicles are temporarily parked.
"Parking stall" means an area of space in a parking facility that is used for
parking one motor vehicle at any time.
"Permit" means a bumper decal, window decal or window placard.
"Permittee" means a person who has been granted a permit pursuant to these
regulations.
"Public parking" means a short-term parking space in a parking facility that is
used for the general public, including visitors to the government agency,
servicing agents, or county employees whose work site is not within the facility.
"Servicing agent" means an employee of a servicing agency or independent
contractor or consultant contracted by the County to perform work or services for
a government agency.
"Short-term parking" means an area in a parking facility that is used for parking
for a limited period of time, usually less than 2 hours. See Schedule A for time
limits.
"Unmetered stall" means a public parking stall without a fee and restricted with a
designated time limit.
3. GENERAL PUBLIC PARKING
3.1. Metered stalls and other designated public parking stalls under the
jurisdiction of the county are designed to meet the parking needs of:
• The general public to conduct official business with a government
agency;
• Individuals attending special meetings, conferences, seminars,
and/or training sessions held in a County of Hawaii facility;
• Servicing agents,
• County employees whose work site is not within the facility and are
using personal vehicles;
a) County employees from other facilities using personal vehicles are eligible to park
only in spaces designated in a parking area with their appropriate permit.
b) An employee who is not in the parking system without a permit and wishes to park
their personal vehicle in public parking must pay for parking at the prevailing rate
and/or observe the time limitation set for the parking (usual limit 2-hours). However,
if visiting employee is using a county owned vehicle, parking shall be in the
designated parking area for county owned vehicles.
c) If the facility does not have such a parking area, only then public parking area may be
used.
• Individuals with authorized permits.
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Schedule A
Short—term parking2:
2-hour time limit— unmetered
2-hour time limit— metered twenty-five cents per half-hour*
8-hour time limit— metered stall twenty-five cents per two-hours*
Hours of operation:
Monday— Friday (excluding holidays) — 7:00 a.m. — 5:00 p.m. or as
otherwise specified per facility
East Hawaii
1. County Building — all Metered stalls: 2 hour time limit metered @
twenty-five cents per half-hour
2. Aupuni Center— 2-hr time limit stalls
— metered stalls: 8-hour time limit metered @
twenty-five cents per two-hours*
West Hawaii
1. West Hawai'i Civic Center—2 hour time limit stalls
*Subject to County Council Approval
2(Under HRS§291-55 and Section 24—244 of Chapter 24, Hawai'i County Code, Parking Privileges:A
vehicle displaying special license plates, a removable windshield placard or a temporary removable
windshield placard may park
(1) Without payment of any parking meter fees in a public metered parking
space reserved for persons with disabilities
(2) Without payment of parking meter fees for the first two and a half hours or the
maximum time the meter allows,whichever is longer, in a public metered
parking space.
3.2. Unless otherwise specified, all visitors shall comply with the fees and/or
time limits established for the individual parking facilities.
3.3. Accessible parking spaces have been identified and designated for
individuals with disabilities who are qualified as stated in Section 24-244
of the Hawai'i County Code. The vehicle shall display the individual with
disabilities' parking placard or special license plates.
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4. CHARGING STATIONS FOR PLUG-IN ELECTRIC
VEHICLES
4.1.The County of Hawaii has supported the development of electric vehicles
and the stations required to re-charge their batteries. This is a program to
promote the use of EVs, Plug-in EVs and using alternative energy.
4.2.Charging stations are available on a first-come, first-served basis.
4.3.Hours of Operation: 7:45 a.m. —4:30 p.m., Monday through Friday.
4.4. Upon completion of charge or at the County's request, a vehicle using the
charging station must be moved out of the charging stall or as directed.
4.5.The use of County charging stations is at the users own risk. The County
will not be liable for any theft, property damage, or injury arising from the
use, misuse, or suspected misuse of County charging stations.
4.6. Violations will be addressed on a case by case basis. Continued abuse
may lead to citations.
4.7.The procedures regarding access and use of the County parking lot for
County employees remain unchanged. Employee's vehicle must be
moved out of the charging stall as soon as charge is complete (refer to
item 4.4 above).
4.8.Refer to this regulations booklet. For additional information or concerns
about the new service provided, or to request information regarding the
procedures for charging vehicles at the facility, please contact the DMD's
Office (WHCC 323-4444) or call DPW Admin at 961-8321.
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5. EMPLOYEE PARKING
5.1.Application procedures
5.1.1. An eligible employee seeking a parking permit shall obtain an
Application Form from the parking control officer or the
Administration office of the Department of Public Works. Each
applicant shall fully and accurately complete the form and shall
provide all information requested by the county, including, but not
limited to:
1. Name, telephone number, work place address, and
government agency;
2. Registered owner(s) of motor vehicle(s);
3. Year, make and license number of primary motor vehicle, if
applicable;
4. Year, make and license number of secondary motor vehicle, if
applicable;
5. Facility working in; and
6. Type of parking requested.
5.1.2. Employees who are an individual with a disability who is
qualified and wish to request accessible parking spaces shall
submit their requests to their departments/agencies as outlined in
Procedures for Providing Reasonable Accommodation,
Requesting Accommodations, 3. Employees b. with Application
Form.
• The employee and his/her supervisor, manager or other
employee responsible for deciding whether a request for
accommodation is reasonable shall engage in the interactive
process, as necessary, to determine the what type of parking
space will best meet the employee's need.
• The departmental Accommodation Resource Manager shall
inform the Administration Office, Public Works Department of
the employee's need for accessible parking and submit the
completed Application Form.
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5.1.3. In the event that the applicant or permittee has any change in
any of the information required in Section 5.1.1, notification must
be given to the parking control officer (via DPW Administration) by
submitting a Notification of Change form. It is the applicant or
permittee's responsibility to give immediate notification to avoid
possible citation or vehicle removal as provided in the General
Rules, Section 6 of these regulations.
5.1.4. Employees or permitees who are no longer in need of an
accessible parking space shall notify their department's
Accommodation Resource Manager who will inform the
Administration Office.
5.1.5. In the event that there is no vacant stall available at the parking
facility the eligible employee is working in, the eligible employee
shall be placed on a waiting list for that facility. The list shall be
maintained by the Administration of the Department of Public
Works. The date the eligible employee is placed on the waiting
list shall be indicated on the list itself. The list shall be maintained
by chronological order, by the dates the eligible employees are
placed on the list (earliest to latest). The employees who are
waiting for a stall assignment may park on the street, or park at
the Aupuni Center metered stalls and feed the meters (8 hour time
limit fronting Kilauea Avenue).
5.2. Assignment of Parking
5.2.1. Specifically marked parking stalls may be assigned to vehicles
or positions required to carry out an agencies' program functions.
5.2.2. Specifically marked parking stalls may be assigned to
department heads, deputy department heads, secretaries to
department heads, multi-functional program managers, and other
mayoral appointees.
5.2.3. The Department of Public Works may designate specific stalls
to be used for accessible parking or reserved for reasonable
accommodation purposes. These stalls may be temporarily
assigned to employees or individuals who do not require them as
reasonable accommodations. In the event it is necessary to
assign the stall for reasonable accommodation purposes, the
employee will be assigned another parking stall.
5.2.4. A stall shall be assigned to an employee who works in the
facility of the assigned stall.
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5.2.5. If the permittee is absent from work (with or without pay) for a
period of more than ninety (90) days, the stall assignment shall be
forfeited and reassigned unless the Director is notified and a
retention of the stall is granted in accordance with Section 5.2.6
below. Exceptions shall be considered and may be granted at the
discretion of the Director of Public Works.
5.2.6. When a stall becomes vacant, the selection process for that
vacancy shall be as follows:
• Announcement of vacancy and request for applicants (eligible
employees who currently have reserved stalls at the facility who
wish to transfer to the vacant stall).
• Eligible applicant with the greatest length of service in the facility
shall be awarded the vacant stall. Should there be a tie for
service date, then the tiebreaker will be the applicant with the
greatest length of service in the county. (Thereafter, ties shall be
broken by random draw.)
• Process shall be repeated until no requests for transfer are
received.
• Remaining vacancy shall be assigned to the eligible employee at
the top of the waiting list.
5.2.7. A permanent employee who accepts a temporary or appointed
position and is entitled to a designated stall shall be allowed to
retain his/her assigned stall for the duration of the appointment,
but may have his/her assigned stall temporarily assigned to
another employee at the discretion of the Director of Public
Works. However, until the stall is temporarily assigned to another
employee who will assume the monthly fee payments, payment of
the monthly fees must continue to in order to retain the stall
assignment.
5.2.8. An eligible employee who will be absent from his/her county
position due to any leave beyond ninety (90) days or military leave
(with or without pay) shall be allowed to retain his/her reserved
stall for the duration of the leave but may have it temporarily
assigned to another employee, at the discretion of the Director of
Public Works. The eligible employee is responsible to notify the
Administration of the Department of Public Works immediately in
writing upon confirmation of the anticipated absence. If the
absence is confirmed by means other than notification by the
eligible employee, the forfeiture or assignment of the parking stall
shall be left to the discretion of the Director of Public Works.
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5.3. Parking Area Designations (for employees)
East Hawaii
County Building Area A
Area C
Designated for County Owned Stalls 16 -23
Vehicles
Au uni Center Stalls 1 - 102
152-273
275-296
299-340
Designated for County Owned 103- 151
Vehicles
Should the designated parking areas for county owned vehicles be fully occupied,
then the alternate area would be the meter stalls fronting Kilauea Ave.
West Hawaii
West Hawai'i Civic Center Level 1 Designated
Level 2 Reserved
Level 3 Floating
Level 4 Designated for Stalls 103 - 151
County Owned
Vehicles
Visiting Employees 11 —22
Electric Vehicle 56 -61
Charging Station
Should the visiting employees parking area be fully occupied,then the alternate
parking area is anywhere on Level 3.
5.4. Parking Stall Fees
5.4.1. Fee rates are set by the Director of Finance. See Schedule B
for the current rates.
5.4.2. Parking stall fees shall be payable in advance through payroll
deduction. The Assignment of Salary form shall be signed during
the initial application.
Schedule B
Employee Parking Fees
Effective since 10/1/04
Designated parking $15.00 per month
Reserved parking $10.00 per month
Floating parking $ 7.50 per month
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5.5. Parking Permit Cards
5.5.1. Permittee shall place the parking permit card provided by the
County of Hawaii on the rear view mirror of their vehicle. If there
is no rear view mirror, the parking permit card shall be
conspicuously displayed on the interior windshield or dashboard
area.
5.5.2. Permittee is responsible for transferring this card from one
registered vehicle to another that is listed on the parking
Application Form.
5.5.3. During the normal working hours, a parking permit card issued
for a specific assigned parking area cannot be used in another
parking area while the permittee is on duty unless the vehicle is
parking under a temporary permit authorization.
5.6. Temporary Parking Permits
5.6.1. A parking stall assignment is not transferable; however, the stall
may be loaned by the permittee to another county employee
during short periods of absences such as sick leave or vacation.
The permittee is responsible for transferring the permit to the
temporary permittee.
5.6.2. Whenever the permittee's vehicle is temporarily replaced by a
service loaner or by another vehicle due to emergency conditions,
the permittee is responsible for transferring the permit to the
loaner or other vehicle.
5.6.3. If an employee sustain an injury or illness and needs an
accessible space on a temporary basis, the employee should shall
notify their department's Accommodation Resource Manager who
will inform the Administration Office to arrange such temporary
accommodations.
5.7. Termination of Parking Stall Assignment
5.7.1. To terminate a parking stall assignment, the permittee shall
submit a Notice of Termination form at least two weeks prior to the
termination date. The form is available at the Department of
Public Works or your department representative.
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5.7.2. Termination shall be effective only on the last day of each
month. A termination request submitted after the due date shall
forfeit any refund that may be due, except for clerical error,
computer error or conditions beyond the control of the permittee.
5.7.3. All parking cards and permits must be turned in by the original
permittee. The termination form must be submitted in advance,
but the permit may be turned in on the last day of the month. A
vehicle found parked with a cancelled and/or invalid parking
permit card or permit shall be cited and/or towed away at the
owner's expense.
6. GENERAL RULES
6.1. All official signs and pavement markings shall be observed. All signs
and pavement markings posted on county lands designated to be under
the jurisdiction of the county shall be official signs.
6.2. Parking shall be permitted only in areas marked and specified for
parking. Every permittee shall display a valid parking decal, permit, or
placard while occupying a stall in any parking area as regulated under
these rules.
6.3. No permittee shall sublet, subrent, transfer or assign a parking stall,
assignment or permit to any person without the consent of the Director of
Public Works.
6.4. A parking decal, permit or placard issued to a permittee shall be valid
only in the designated lot or area.
6.5. The county shall not be responsible or liable for fire, theft, or damage to
motor vehicles or contents therein when the motor vehicles are parked or
operated in the parking facilities under the county's jurisdiction.
6.6. Any motor vehicle may be removed at the expense of the registered
owner or permittee if it is parked in violation of these regulations.
6.7. In any proceeding involving the violation of these regulations, the license
number attached to a motor vehicle involved in a violation shall constitute
prima facie evidence of the motor vehicle's owner. It shall be assumed
that the registered owner of the motor vehicle was the person who parked
the motor vehicle at the point where, and during the time when, the
violation occurred.
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6.8. Every person who is provided a parking permit pursuant to these
regulations shall:
a) Maintain a valid driver's license during the life of the permit;
b) Possess a current certificate of registration for all motor vehicles
covered by the permit; and
c) Maintain no-fault Insurance for all motor vehicles covered by the
permit.
6.9. Violations of the conditions under which the permit is issued, falsification
of requested information, the cancellation or the expiration of licensing,
registration and insurance requirements, or nonpayment of the required
parking fee for more than 30 days shall result in the cancellation of the
permit.
6.10. Nothing in these regulations shall be construed to supercede or
supplant existing state and county laws regarding the operation of motor
vehicles. All applicable state and county laws may be enforced by the
appropriate law enforcement agency.
7. ENFORCEMENT
These regulations shall be enforced by employee(s) of the Department of
Public Works who are duly deputized, pursuant to Chapter 24-202.2 and 24-
202.3 of the Hawaii County Code. Hours of enforcement shall be during the
hours of operation for the facility, or as designated by the Director of Public
Works.
8. VIOLATIONS AND PENALTIES
8.1. A vehicle parked in an expired metered stall or a vehicle parked in
excess of the specified time limit shall receive citation(s) and fine(s) as
stated in the provisions of Chapter 24 of the Hawaii County Code. In
addition, a vehicle in violation of the above ordinances may be subject to
removal as provided in the General Rules, Section 6 of these regulations.
8.2. A vehicle parked in a prohibited or unauthorized parking area, or without
proper decals, permits, or placards shall receive citation(s) and fine(s) as
stated in the provisions of Chapter 24 of the Hawaii County Code. In
addition, a vehicle in violation of the above may be subject to removal as
provided in the General Rules, Section 6 of these regulations.
8.3. Persons committing violations of this section other than as specified in
subsections 8.1 and 8.2 may be fined for each violation. In addition, the
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Parking Control Officer may suspend or revoke the parking assignment
and permit of any permittee or permanently remove the name of any
applicant from any waiting list for violating these regulations. Failure to
pay fines or delinquent payments of parking fines may also result in the
revocation of a parking permit.
8.4. Appeals
Any person whose parking assignment has been suspended or revoked,
or whose name has been removed, may appeal that decision to the
Director of Public Works within ten days after receiving notice of such
decision.
9. OTHER RESTRICTIONS
9.1.Any vehicle parked in an unmarked area or unauthorized stall shall be
cited or towed away at the owner's expense. Fines for each parking
violation shall be in accordance with Chapter 291 C-167 of the Hawai'i
Revised Statues, Summons or Citations of Illegally Parked Vehicles.
9.2. Specially marked parking stalls may be assigned to council members
and as such, shall be considered designated parking. Every council
member shall follow all applicable rules and regulations of the designated
parking and be responsible for the corresponding fees.
9.3. Parking privileges may be permanently revoked for violation of these
regulations.
9.4. All issues not addressed by these regulations shall be the responsibility
of, and shall be resolved by, the Director of Public Works.
10. EXCEPTIONS
An exception to items listed in these regulations shall be requested in writing.
An exception may be granted only with the written approval of the Director of
Public Works. An exception shall be valid only for the duration of the term of
the Director who granted the exception. Request for an exception must be
resubmitted when a new Director is appointed.
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R OMMEND APPROVAL: APPROV
WARREN H.VV. LEE, P.E. WILLIAM P. KENOI
DIRECTOR OF PUBLIC WORKS MAYOR
COUNTY OF HAWAI'I
NOV - 42015
Date
APPROVED AS TO FORM &
LEGALITY:
DEPUTY ORPORA OUNSEL
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Appendix
FORM SAMPLES
1: Application for County Facility Parking Lot Stall Assignment
2: Assignment of Salary for County Employee's Parking Stall Fee
3: Notice of Termination of County Facility Parking Assignment
4: Notification of Change in Vehicle Information
MAPS
1: Hawaii County Building
2: Aupuni Center
3: West Hawaii Civic Center (WHCC)
COUNTY OF HAWAII
HILO, HAWAII
APPLICATION FOR COUNTY FACILITY PARKING LOT STALL ASSIGNMENT
Applicant's Name Department
Workplace Address: Telephone No.
Check one:
❑County Building ❑Aupuni Center ❑West Hawai'i Civic Center ❑Other:
A copy of the Department of Public Works County Parking Regulations, dated September 2015, referencing
Chapter 24 of the Hawai'i County Code was made available to me. I understand that it is my obligation to read
and understand this material and to abide by the rules and regulations established for the orderly utilization of
the Hawai'i County Facility Parking area. I also understand that I am governed by these policies and procedures
and that the County may change them at will.
I understand my monthly parking stall fee must be paid by an automatic payroll deduction from each payroll, or
some other pre-approved payment option.
Employees who are"qualified individuals with disabilities"and wish to request accessible parking spaces shall
submit their requests to their departments/agencies as outlined in Procedures for Providing Reasonable
Accommodation, Requesting Accommodations, 3. Employees b. with Application Form.
The departmental Accommodation Resource Manager shall inform the Public Works Department
Administration Office of the employee's need for accessible parking and submit the completed
Application form.
I hereby apply for an assigned parking stall in the Hawai'i County Facility Parking as specified above.
❑Please check here if
special needs are Applicant's Signature
required, as per ADA.
Explain: Date
County Seniority Date
Effective Date (Start Parking)
---------------------------------------------------------------------
---------------------------------------------------------------------
❑Current Driver License (expiration date)
Primary Vehicle Information:
Registered Owner License Plate No.
Make Year Type
Secondary Vehicle Information:
Registered Owner License Plate No.
Make Year Type
----------------------------------------------FOR PUBLIC WORKS INPUT-----------------------------------------------
Parking Area Stall Number
APPROVED:
Public Works Authorized Signature Date
County of Hawai'i is an Equal Opportunity Provider and Employer.
COUNTY OF HAWAII
HILO, HAWAII
ASSIGNMENT OF SALARY FOR COUNTY EMPLOYEE'S PARKING STALL FEE
For value received, the undersigned hereby assigns to the DIRECTOR OF FINANCE,
COUNTY OF HAWAII, the sum of$ from the
payroll applicable for the month(s) of ; and thereafter,
the sum of$ from the end of month payroll, each month beginning
to pay for each following month's parking stall fee to
the County of Hawaii, and hereby authorizes the Director of Finance to deduct said amounts
from such salary or wages due.
Furthermore, I hereby authorize the Director of Finance to deduct the appropriate monthly fee
applicable for this stall or any other stall in the same class due to any approved future rate
increases until this salary assignment is revoked by the County or myself.
Employee's Signature
Employee's Name Employee #
Department
❑County Building ❑Aupuni Center ❑ West Hawaii Civic Center ❑Other:
Parking Area Stall Number
---------------------------- Please type-or-print above information)
RETURN ORIGINAL FORM TO THE DEPARTMENT OF PUBLIC WORKS
FOR STALL ASSIGNMENT FIRST
APPROVED:
Public Works Authorized Signature Date
Distribution:
Original - Controller, County of Hawaii
Copy - Employee
Copy - Department of Public Works
County of Hawai'i is an Equal Opportunity Provider and Employer.
COUNTY OF HAWAII
H I LO, HAWAII
NOTICE OF TERMINATION OF COUNTY FACILITY PARKING ASSIGNMENT
Employee's Name Employee #
Department
I hereby serve notice of termination of my lot assignment and its related salary assignment for
my parking stall fee, effective
(last day of month and year)
Employee's Signature
Date
Check one:
❑County Building ❑Aupuni Center F-1 West Hawaii Civic Center ❑Other:
PARKING AREA STALL NUMBER
--- - - - - - --- - - - - - - ----------------------------------------------------------------------------------
PLEASE RETURN ORIGINAL FORM TO THE DEPARTMENT OF PUBLIC WORKS
TWO WEEKS PRIOR NOTICE REQUIRED
APPROVED:
Public Works Authorized Signature Date
Distribution by Public Works:
Original - Controller, County of Hawaii
Copy - Department of Public Works
County of Hawai'i is an Equal Opportunity Provider and Employer.
COUNTY OF HAWAII
HILO, HAWAI'l
NOTIFICATION OF CHANGE IN VEHICLE INFORMATION
DATE:
TYPE OF CHANGE: ❑ Applicant Information ❑Vehicle Information
EFFECTIVE DATE OF CHANGE:
Applicant's Name Department
Workplace Address Telephone No
VEHICLE INFORMATION
Primary Vehicle Information:
Registered Owner
License Plate No.
Make Year Type
Secondary Vehicle Information:
Registered Owner
License Plate No.
Make Year Type
Check one:
❑County Building ❑Aupuni Center ❑ West Hawai'i Civic Center ❑Other:
Parking Area Stall No.
APPROVED: _
Public Works Authorized Signature Date
County of Hawaii is an Equal Opportunity Provider and Employer.
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