Building Access This form ONLY authorizes Public Safety to allow designated individuals access to certain buildings/rooms. Use other established procedures/forms to schedule events, reserve rooms, etc. Name(Required) Division/Department(Required) Email(Required) Phone(Required)Certification(Required) I, the above named employee having control over the building(s)/room(s) in question, hereby give my permission for those listed below to be permitted access to the building(s)/room(s) with any noted restrictions Building/room for the first person is the same for all persons Start and end date for the first person are the same for all persons Restrictions/notes for the first person are the same for persons Autorized User(s) & Location(s)Use the + sign to add additional users or rooms. Optionally enter "See roster" and upload a spreadsheet or roster.NameBuilding(s)/Room(s)StartEndRestrictions/Notes Add RemoveUpload File or RosterAccepted file types: xls, xlsx, csv, txt, pdf, Max. file size: 8 MB.Additional Information