Vehicle Registration

First Name*
Middle Initial
Last Name*
LETU Student ID #*
Student's Email Address*
Campus Post Office #
Residence Hall*
Residence Hall Phone
Cell Phone #*
Driver's License #*
Expiration Date*
Vehicle Color*
Vehicle Year*
Vehicle Make*
Vehicle Model*
Vehicle License Plate # (enter NA if you are not registering a car)*
Vehicle License Plate State (enter NA if you are not registering a car)*
Select One*
If other, explain type of vehicle here
If other, serial number (if available)
Insurance Company (not agent name): *
Policy Number:*
Legal Agreement :*
By submitting this vehicle registration information, I am confirming that I have a valid driver's license issued by my state of residence and have a current liability insurance policy for my vehicle.
Legal Agreement Continued:*
Also, I understand that it is my responsibility to contact Campus Security immediately with any changes to the vehicle information above. I understand the vehicle & traffic regulations posted in the student handbook (available online at letu.edu/security) and that I am responsible for compliance with these rules.

 All fields marked with an asterisk (*) are required.