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College of Engineering

Access Request Form

For Faculty/Staff use only. Students should contact their faculty advisor or department staff to request access.

This form is the Access Request Form for Undergraduate, Graduate, Postdoctoral Students, Faculty and Staff. One individual per request; multiple rooms allowed per request. If you need to submit requests for multiple individuals, email those requests to support@eng.ua.edu using this template.

ACCESS REQUESTED BY

ACCESS TO BE ISSUED TO:

ACCESS FOR:

(Example: Bevill Exterior, 243 Hardaway)
Maximum expiration dates: Students- September 15, 2024 Faculty/staff-five years from request date.
  • They are fully responsible for the borrowed key(s), and the key(s) may only be used for approved activities associated being issued the key(s).
  • They must return the key(s) or have the key(s) reissued to them prior to the end of each term or earlier if requested.
  • A fee of $100/key will be charged to their UA account for failure to return borrowed key(s).
  • They must report immediately if any borrowed key(s) is(are) lost, stolen, or damaged.
  • A fee of $100/per key will be charged to their UA account for any lost, stolen, or damaged key(s).
  • Failure to pay any associated fees may result in non-issuance of grades or their diploma.
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