Building Occupant Form – Ruthven Administration Building

Please complete the below information for building occupant changes.

Building Occupant Form

Email of person making the access request: *

Employee Type (New, Leaving, Update) *

Employee Status (Regular, Student, Temporary) *

Employee First Name *

Employee Last Name *

UMID *

Uniquename *

Start or End Date

Department *

Position *

Office/Cubicle Number *

Phone Type (Dept, New, N/A)

Assigned Phone Number

Building Signage *

Cubicle sign

Office door sign

Key Requests

Office Key

Common Area (Kitchen, Conference)

Other (Add to notes section)

Additional notes and information

If you are human, leave this field blank.