Access Request
Contact Information
Please fill in the fields below with your contact information.
First Name
Last Name
Email
Phone
Department
Access Request
Who is this access request for?
Please select...
Myself
Staff Member
Student Staff
Outside Contractor
Access Reason
Please select...
New Hire
Lost or New Card
Extend Access End Date
Modify Access for Existing Employee
Temporary Access
Terminate Access
Other
Building
Please select...
2610 Channing Way RSSB
Sproul Hall
UC Path ID
Please enter the
UC Path ID
of the person who needs access to the building.
To find the UC Path ID, please login to
UC Path
. The UC Path ID will be listed under "Employee ID" in the upper left hand corner.
DO NOT enter a Student ID
, please have the student login to
UC Path
and get the number from the upper left hand corner.
UC Path ID
Enter the ID of the person who needs access.
Salesforce Record IDs (All these fields should remain hidden)
Case ID
Contact ID
Record ID
UC Location ID
Account ID
For security purposes, do not include any private information in this form such as credit card, social security numbers, or private health information.