Public Safety : Card Access Request

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Card Access Request

Contact Information of the cardholder

Please make sure you have filled in all required fields with valid information.

First Name:

Last Name:

Email:

Classification:

Student Classification:

Department:

RamNet ID #:

Add the 5 digit numbers starting with 6A* or 6B* XXXXX on back of card:

Contact Phone Number:

- Phone (next 3 digits): - Phone (next 4 digits):

Request Information

Please make sure you have filled in all required fields with valid information.

Type of Request:

Campus:

Building:

Other Building:

Floor:

Other Floor:

Room Number:

Request Start Date:

Request Start Time:

Request End Date:

Request End Time:

Purpose of Request:

Approver Information

Please make sure you have filled in all required fields with valid information.

No student has 24/7 access to academic buildings for academia purposes, only faculty and staff of their assigned buildings. For student access after-hours (up until midnight-weekdays and 8pm on weekends), the building administrator must submit the ESS form.

Approver Email:

Approver First Name:

Approver Last Name:

Approver Contact Number:

- Phone (next 3 digits): - Phone (next 4 digits):

Approver Date:

Approver Time:

For bulk lists please make sure it is in CSV format Excel spreadsheet and email to: Electronic Security dps-essupport@wcupa.edu, along with WORKORDER number in the subject line.