U of U Logiplex Security System Request Form

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Personnel Data

Faculty Staff Graduate Undergraduate Other

APPLICANT: PLEASE READ THIS INFORMATION CAREFULLY!

  • I will not loan my University of Utah ID/U-Card to anyone. Further, if I lose my ID/U-Card, I will notify my department immediately.
  • If assigned a Logiplex P.I.N., I will not disclose it to anyone. If I believe my P.I.N. to have been compromised for any reason, I will notify my department immediately.
  • I understand that violations of any of the above may lead to my suspecsion or termination from the University of Utah as per Policy and Procedure 5-3.

Signature:

Date:


Access Encode Modify Delete Disable

Allow access to:

019: 1st Floor South Bldg. Entrance
019: 2nd Floor Break Room 293
019: 2nd Floor East Bldg. Entrance
019: Break Room 194
019: CHPC Miklavcic's Office 296
019: Computer Server Room 275
019: Conference Room 345
019: Conference Room 445
019: Controller/Editing Room 111
040: Room 095 Card Reader
019: Entrance Suite 305
019: Mail Room 255
019: North Entrance Suite 405
019: Office 394
019: Office Room 192
019: Room 110 Large T.C. Auditorium
019: South Entrance Suite 405
019: Visualization Equipment Room 115
019: Visualizaton Room 294
040: Room 087 Card Reader Hall D

Allow access on the following days:


Allow access at the following times:


Temporary access (optional):


Signature:

Date:


Last Modified: October 06, 2008 @ 21:03:59