Card Access Request Form
The information you provide below will be emailed to the faculty supervisor prior to being submitted for authorization.
Last Name, First Name *
Your answer
BYU 9-digit ID Number (XX-XXX-XXXX) *
Your answer
BYU netID *
Your answer
Phone Number *
Your answer
Email address *
Your answer
Position *
Faculty Supervisor *
If you marked "other", put last name then first name of your supervisor below. Leave blank otherwise.
Your answer
Area or Room requesting access to (Choose one and fill out form again if you need access to another room) *
Purpose *
For what purpose are you needing card access?
Your answer
Expected duration of access
Comments
Your answer
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