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Departmental Visitor Code Request Form

Name:
Phone Number:
E-Mail:
Fax Number:
Department:
Department Code:
Grant Code (if applicable):

 

 

 


Individual Use Codes

Departments may request a list of codes to use for individual guest visits. Each code is valid for one use only.

Number of codes needed:

Type of Codes:

Renewal - will be effective July 1, 2012 and will expire June 30, 2013.

Additional - will be effective the date of notification through June 30.

 

 


Multiple Visitor – Single Activity Codes

Departments may request a single code to be used multiple times for a specific event.

If a department expects to have 11 or more outside guests, please complete the Event Request Form.

Codes will be valid the dates and times listed below.

 

Number of Uses :
Activity Title :
Activity Start Date :
Activity Start Time :
Activity End Date :
Activity End Time :

Customers will arrive:

at the set starting time or throughout the day.

 

Comments / Special Requests:

Disclaimer:
I understand that by submitting this request, I have the authority to approve expenditures under the department / grant code listed. I understand that the requested code(s) are to be utilized for the convenience of Guests / Visitors to the university ONLY. Univeristy employees, temporary employees and students are not considered guests or visitors and may not use these codes. The requesting department will be held responsible for any mishandling or unauthorized use of the codes.

Please allow up to 5 business days to process this request.

OK


 

 

 

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