Building Access Request Form

This form must be filled out by the PI or lab manager on behalf of the individual needing access to the NanoES or MolES buildings.

PI or Lab Manager Email Address:

Access requested for:

Name:

Email Address:

NetID:

UW Employee ID / Student ID # (if applicable):

Department/Organization:

Lab/Center Name:

Access expiration date:

Access Type:
24x7Monday - Friday; 7:30AM - 6:30PM

Rooms/areas access is needed:

I agree that I have or will complete all required safety trainings and/or safety protocols prior to using the chemical labs.

Note: Individuals without a UW affiliation/HuskyCard will be issued a temporary access card (provided at the expense of the sponsoring lab or center) to be returned by the end date above. Cards not returned on time will be considered lost.