UCSB Physics Department Material Management

Building Access Request

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Building Access Request Information

• Please specify which doors or areas you need to access. If you don't know the exact door numbers, be descriptive (i.e. "Prof. Smith's labs", or "Physics 127B lab"). Do not assume we are aware of every location to which you might need access.
• Exterior door codes for after-hours access are a separate item from office/lab codes and must be specifically requested.
• All requests for door codes or keys will be confirmed with your supervisor or other department staff.
• For your code, please select a secure 6-digit numeric value that you can remember.
  Any door code found to be a geometric pattern, too simplistic, a physical or mathematical constant, or in some other way easily associated with you (i.e., your phone number) will be rejected. Codes such as: 123456, 789654, 159753, 314159, 112233 are requested every quarter, and rejected.
• Door codes will be disabled when the user is no longer affiliated with the UCSB Physics Department (i.e., graduation, employment separation).
• Do not:
  • fill in this form for another individual.
  • share your door code with anyone. If an incident were to take place in a specific room or lab, door codes will be used to determine who was in the room.
  • allow any unauthorized person follow you into the room if you believe they do not belong there.

General Information

Full Name :
Status :	Choose one Undergraduate Graduate PostDoc Faculty Staff Other
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) :	Choose one Yes No
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 ?	Choose one Yes No
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 ?	Choose one Yes No
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.

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