Authorization for Open/Entry List

ULPD will not open rooms or facilities without previously filed proper authorization from the person responsible for the facility (i.e. Vice-President, Dean, Chairman, Director or Department Head). All individuals needing access to buildings after normal business hours must be named on an Authorization Entry List on file at the ULPD. If a person requests access that we do not have on the Authorization Entry List, that person will either be denied entry or required to contact the appropriate, responsible individual for that area to obtain permission to enter.

Please fill out the form below to add/remove individuals on a list.

NOTE: We recommend that you include information on all departmental faculty and staff in order to avoid any problems in the future with forgotten keys or keys accidentally locked in an office. Additionally, if access is needed for a classroom or lab, the form should be completed to include the instructor’s name and all students needing after-hours access. Class rosters will not be accepted in place of the required Authorization Entry Form.

Starting Date  
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Ending Date  
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Requesting Access for:
Role  



Role



Role



Role



Role



Are any of the above listed room(s) ALARMED/RESTRICTED AREAS?  


Do any of the above listed room(s) contain HAZARDOUS MATERIALS that we should be aware of?  If yes, please provide a complete listing on a separate page.