Access Request Form

Use this form to record all card transactions as well as report access problems that happen at the Area Desks.

Which Desk?

Which Desk? North Area Desk at Schapiro Northeast Area Desk at Sargent South Area Desk at Allison Southwest Area Desk at Willard
Your Name: Your Name: First Last
What task are you completing?

What task are you completing? Lockout - Issuing a temp card Lockout - Manual (by RDs, RAs, etc.) Access Problem - Issuing a Temp Card Lost WildCARD - Issuing a Temp Card Resetting a Temp Card Lost Temp Card Facilities Temp Card Lock Issue - Multiple Temp Card Failure Extending Temp Card - Student Already Has a Card Student Does Not Have Wildcard - Issuing Temp Card Returning from Q/I Hsg - Access Problem Emergency Room Use Checking out Blue Bin Returning Blue Bin
Resident Name/Person's Name
(First Name Last Name)
Building:
Room Number:
Student ID:
(7-digit number)

use the Res Lookup (7 digit number, NOT netID)
iClass number on WildCARD (between * and -E on back of card)
Student Email
Number on front of Temp Card
iClass number on back of Temp Card (between * and -E)
Blue Bin Number
Who completed the manual lockout?

Who completed the manual lockout? Resident Director Assistant Resident Director Resident Assistant RS Facilities Staff Desk & Access Manager Desk Clerk
Where is the access problem?

Where is the access problem? WildCard doesn't work at sleeping room (Persona) WildCard doesn't work at suite (Persona) WildCard doesn't work at entrance/hallway/stairwell/elevator (Millenium) Student has biometric Wildcard - Need Clerk to issue permanent card
Is this access problem a result of a room move?

Is this access problem a result of a room move? Yes No
Is this a new WildCard from the WC Office?

Is this a new WildCard from the WC Office? Yes No
LOCKOUT - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for 24 hours from now,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number)
- click save & return?

LOCKOUT - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for 24 hours from now,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number)
- click save & return? Yes No
SUMMER STORAGE - Did you:
- verify the resident's identity,
- select a temp card from the binder for the storage location?

SUMMER STORAGE - Did you:
- verify the resident's identity,
- select a temp card from the binder for the storage location? Yes No
SUMMER STORAGE (2) - Did you:
- issue the student a hard key in KeyTrak for the storage location?

SUMMER STORAGE (2) - Did you:
- issue the student a hard key in KeyTrak for the storage location? Yes No
LOST WILDCARD - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for the next business day,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number),
- click save & return?

LOST WILDCARD - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for the next business day,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number),
- click save & return? Yes No
ACCESS PROBLEM - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for the next business day,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number),
- click save & return?

ACCESS PROBLEM - Did you:
- verify the resident's identity,
- select a temp card from the binder and search for it in Persona,
- set the expiration for the next business day,
- add the resident's name in the "Assigned To" section,
- select the correct Access Level (room number),
- click save & return? Yes No
RESETTING TEMP CARD - Did you:
- search for the card in Persona,
- remove the resident's name from "Assigned To,"
- remove the access,
- click save & return,
- put the card back in the correct slot in the binder?

RESETTING TEMP CARD - Did you:
- search for the card in Persona,
- remove the resident's name from "Assigned To,"
- remove the access,
- click save & return,
- put the card back in the correct slot in the binder? Yes No
Notes for Housing Ops (anything that will help staff process the ARF.)

If you selected "Access Problem" above, please include results of test lock test or any other information relevant to the access issue.