University of Minnesota
School of Physics & Astronomy

Physics Forms

FORM: Access Request Form

Request keys and card access
Research Lab Safety Training

Fields that are highlighted are required.

Name of person requesting access
Appointment / Title:
Email
Faculty/Supervisor Name
Faculty/Supervisor Email
Employee or student ID number (Please enter 0000000 if you do not have an ID#)
U Card number (Long number starting with "600953..."; include spaces)
I Class number IMPORTANT: Please provide the 6 digit number after the asterisk. -New Vertical Card: Located on the back of the card are black vertical numbers. -Old Version Horizontal Card: Orange text on back of U Card
PAN MAIN SPACE EXTERIOR ACCESS AFTER HOURS / WEEKENDS (FOR AUTHORIZED USERS)
PAN room to which you need access Include additional PAN rooms below
PAN room 2
PAN room 3
PAN other
Do you need exterior access to Shepherd Labs (Afterhours, Weekends)?
SHEPHERD room to which you need access Include additional Shepherd rooms below
SHEPHERD Room 2
SHEPHERD Room 3
SHEPHERD other
Building to which you need access (Appleby, Fraser, McNamera, WBOB, Williamson, Willey Hall)
Do you need exterior access to this building (Afterhours/Weekends)?
Room
Building to which you need access (Appleby, Fraser, McNamera, WBOB, Williamson, Willey Hall)
Do you need exterior access to this building (Afterhours/Weekends)?
Room
Comments or justification