Proximity Card Access Form

Proximity Card Access Form

Please note you must have a UGA ID card before requesting proximity card access. Office of Research support staff will respond to most access requests within one to two business days. Please verify that your card is working two full business days after submitting your request.

Contact researchfrontdesk@uga.edu if you have any questions or need assistance using this form.

Access Needs

Which building do you need to access?*

Coverdell Center

Tucker Hall

Do you need access to Tucker Hall after hours and on weekends?

Yes

If you do not need after-hours access, there is no need to submit this form. Please close this form and do not submit.

Which type of rooms or areas do you need to access?*

If you need access to one or more areas, please submit one form per area or zone (i.e., one for your lab access, one for the cytometry core, one for microscopy core, etc.). If your lab is not listed, please select your center affiliation.

Select

Which rooms do you need to access?*

Select all that apply.

Select or enter value

Please enter the name of your PI or lab affiliation*

Do you need after-hours and weekend access to the building? (i.e., exterior doors)*

After-hours are 6 p.m. – 7 a.m.

Yes

Would you like to be added to the Coverdell listserv?*

Yes

Your Information

First Name*

Middle Name

Last Name*

UGA Email*

MyID*

This is the username used to log into systems with Single Sign On (SSO).

Department*

Your Position*

Faculty

Postdoc

Staff

Student

Other

Position (if other)*

Supervisor

This form will be routed to your supervisor for approval.

Supervisor Name*

Supervisor's UGA Email*

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