Please provide the following information for the person who needs access.





This is the number on the front of your Cal1Card.

6 digit number on the back of the card. See note below.
Card Number Note: Please enter the first 6 digits of the number on the back of the Cal1Card. Newer cards will have a 3 before the 6-digit card number. Only enter the 6-digit card number located in the center of the card.
You may select up to 4 Access Groups below.
Please click here for more information on each of the Access Levels we have available for keycard access.
Please select the access groups to remove, you may select up to 4 groups.
Please click here for more information on each of the Access Levels we have available for keycard access.





If this is a fire or life safety emergency please call UCPD at (510) 642-3333.

If this is an issue in need of immediate attention from our team please call (510) 292-7189. 

Please upload any available pictures in the File Upload field below.







MM/DD/YYYY

Please include the reason for your request in the Description field below.










Examples: USPS, FedEx, UPS, OnTrac

Please see below for the descriptions of each Type of Incident:
  • Building/Campus Policy Violation - Any/all policies set by campus (please click here more information).
  • Damage to Property - Physical damage to campus property (i.e. skateboard breaking window, lobby table being carved, breaking ping pong paddles, etc)
  • Personal Injury - Injury while occurring on premises
  • Solicitation - Asking for or trying to obtain something from someone (panhandling, shoplifting, etc)
  • Theft - Property belonging to another individual (i.e. phone, backpack, bottle, etc)
  • Vandalism - Damage belonging to campus (i.e. graffiti tag, removal/destruction of signage, etc)
  • Witness to Injury - Person(s) who has witnessed an injury to another.
  • Other - If other, please specify what type of incident occurred in the description field.

Please select the type of incident then press the next button.




File Upload








For security purposes, do not include any private information in this form such as credit card, social security numbers, or private health information.


MM/DD/YYYY

No military time. Indicate AM or PM for the time.

Reports occurring on non ASUC or Student Union property must be filed with UCPD or the building it pertains to.

If the incident occurred in a suite/room please select the room from this list.





Example: Upset Student in Lobby




UCPD Information
If applicable, please provide the UCPD Case Number or UCPD Event Number.


File Upload

For security purposes, do not include any private information in this form such as credit card, social security numbers, or private health information.