WSU TRI-CITIES CAMPUS ACCESS DURING COVID-19

Please fill out the form below

Your direct supervisor will approve your telework assignment. The WSU Tri-Cities Incident Commander (Ray White) will approve or deny your request to come to campus during this time.

Employee Name*

Employee Email*

Telework Phone Number*

If you forwarded your phone please indicate this here

Job Title*

Department*

Supervisor email*

Which administrator does your department report to at WSUTC?*

Anna Plemons (aplemons@wsu.edu)

Kate McAteer (kmcateer@wsu.edu)

Ray White (ray.white@wsu.edu)

Sandra Haynes (sandra.haynes@wsu.edu)

Are you requesting access to campus during this work from home directive?*

If you are not requesting campus access skip to the next section regarding the equipment you have taken home

Yes

What dates are you requesting to be on campus?*

Please be specific (Examples: 7/1-7/4 or Tuesdays from 7/1 - 7/31)

What buildings and rooms are you requesting to be in campus?*

What are the approximate hours of the day you are requesting to be on campus?

Example: 8am-9am, 12pm-3pm

Why are you requesting access to campus during this time?*

Be specific

Comply with policies*

I also understand that I must check in with security (372-7698) upon entering any building at WSU Tri-Cities EACH time I come to campus. I also understand that approval for this request ONLY pertains to the parameters specified in this request.

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