UCSB Physics Department Material Management

Building Access Request

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Building Access Request Information

General Information

Full Name :
Status :
If Other, please explain :
Your home dept (your hiring dept, which may be other than Physics):
Do you need a Physics dept mailbox?
(individual mailboxes are only available to Postdocs, Faculty, Staff) :
Your current e-mail address :
You will receive a confirmation when your doorcode is ready.
Office/Lab location (where can we find you?) :
Phone Extension (if known) (i.e. 8366) :
Area of Research/Study
(i.e. Theory, Experimental, High energy, Condensed matter, Physics 127, etc.) :
Name of Advisor/Instructor/Supervisor (as applicable) :
E-mail address of Advisor/Instructor/Supervisor (important) :

Door Code Related Information

Do you need an new or replacement doorcode ?
Desired PIN # (six digits, no geometric patterns, no physical constants) : Once approved, this PIN will be used for numeric key-pad entry doors.
Office/Lab where doorcode access is needed? (i.e.: Broida 1019, Physics 13 Lab) :
Expected duration of need for access? (i.e. Fall Quarter 2008, or 2008-2009 school year):

Keys Related Information

Do you need an office or lab key ?
Office/Lab where access is needed? (i.e.: Broida 3223, Physics 13 Lab) :
Expected duration of need for access? (i.e. Fall Quarter 2011, or 2011-2012 school year):

Note that before a doorcode or key can be issued to an individual, it is department and UCSB policy that all required safety training must be complete.
Details on this requirement will be e-mailed to you.

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Your form will not be accepted without the above validation.

[UCSB Physics]
Physics Computer Services, pcs@physics.ucsb.edu
Last Modified: November 30, 2011