Cancel Access Form

Important: In the case of a security emergency, please contact Campus Safety (24/7) at 253-535-7441.

Designated Office Access Requestor

Name

First Name

Last Name

Phone

PLU email*

Department

Name*

First Name

Last Name

PLU ID Number*

ePass Email Address

*

All Access Traka

As of*

How many buildings?

Building

Door(s)

As of

Building

Door(s)

As of

Building

Door(s)

As of

How many groups?

Group Access Privileges

As of

Group Access Privileges

As of

Group Access Privileges

As of

Upload excel spreadsheet with additional names

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