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Chemistry Access Control

Directions: Please fill out the form per user, and check all doors to which the user needs access added.

First Name of Door Access User

Last Name of Door Access User

Email Address (Must end in ucf.edu)

Since you are a university volunteer or visitor, you are required to complete the UCF Environmental Health & Safety Volunteer Services Agreement before you can be granted door access. On the first page of the agreement, please list your department contact as Patrick Maloney, with the email address Patrick.Maloney@ucf.edu

https://compliance.ucf.edu/enterprise-risk-management/university-volunteers/

*Access for undergraduate students to be provided based on specific circumstances and PI approval.

First Name of Your Supervisor

Last Name of Your Supervisor

UCF ID / Emplid (7 digits without the letter)

Which design of the UCF ID do you have?
(If your ID card type is not listed, please visit UCF Card Services to upgrade to a compatible proximity chip card.)

UCF ID Card proximity number (located on the bottom of the back of your card, 7 digits after the + symbol)
**PLEASE NOTE** If your ID card does not have the 7-digit number on the back, you will need to request a new one at UCF Card Services.

Please enter a 4-digit PIN.

NOTE: 4 consecutive or in sequence numbers are not allowed. Example: 1111 or 1234

Is this a new/replacement ID?

Yes
No

Chemistry Building

Does this user need Building Entry Access? Check the box if yes, skip if no.

Chemistry Building Access - Yes

Physical Sciences Building

Does this user need Building Entry Access? Check the box if yes, skip if no.

Physical Sciences Building Access - Yes

Administrative Areas
Which doors do you need access to? Check all that apply.

Chemistry Suite (255, 255B, 248)
160 / 161 - Conference Room
233 - Copy Room

Utility Corridors / Shared Rooms
Which doors do you need access to? Check all that apply.

330 - Cold Room
331 - Autoclave
2nd Floor Phase 1 Utility Corridor (200K)
2nd Floor Phase 2 Utility Corridor (200R)
3rd Floor Phase 1 Utility Corridor (300K)
3rd Floor Phase 2 Utility Corridor (300R)