Mercury Report Request Form

Staff - First Name Enter the full first name of the staff member completing the form. Please do not enter a nickname.

Staff - Last Name Enter the last name of the staff member completing the form.

Staff - University ID Enter the 7 digit University ID number of the staff member completing the form.

Staff - E-Mail Address Enter the email address of the staff member completing the form.

Report Name What would you like the report to be called?

What will the report be used for? Please give explanation for requesting the form.

characters remaining

Who will have access to the report? What positions/users will need access to the form?

characters remaining

What fields/information are wanted on the form? Please list out fields of information, and mark if they are required or just preferred.

characters remaining

What date is the report needed by? Please give at least two weeks for the report to be completed.

Year/Month/Day

Test

University Housing & Resident Experience

University of Louisville

Stevenson Hall

101 E. Centennial Walk

Louisville, Kentucky 40292

Office Hours

M-F 8:30am to 5:00 pm

Phone

tel (502) 852-6636

Social Media

University Housing and the Resident Experience