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:
To work on-site, individuals must complete the one-time EH&S COVID-19 Safety Training: Back to the Workplace.
Check here if the person you are requesting access for has completed the training.
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.