Winter Break Building Access Form

For pre-planned, unescorted access to University space during the lockdown, please complete this form. All academic and administrative buildings will be on lockdown throughout Winter Break. The buildings equipped with electronic access will be programmed to lockdown by the Card Access Security Office, those individuals with current electronic access to interior & exterior doors will still have the access. Additionally, the buildings with non-electronic access will be locked down during the break by Mason Police. However, we recognize that some students, staff and faculty may need access during this time to the locked buildings without electronic access. A PDF version of this form is also available at https://police.gmu.edu/wp-content/uploads/2022/12/Upd-024b-2020revised-2.15.2022.pdf

Campus Department(Required)

Name of Department Approver(Required)

First Last

The “department approver” is the person authorized to grant building access to others during the Winter Break Lockdown.

Title of of Department Approver(Required)

G# of Department Approver(Required)

Email of Department Approver(Required)

After Hours Phone Number for Department Approver(Required)

Secondary Phone Number for Department Approver(Required)

Billing Org # for Campus Department(Required)

Person(s) Authorized to Access Closed Building(s)(Required)

Please provide the following information for each person authorized to access closed buildings during Winter Break: 1. Name 2. Timeframe for building access 3. Email 4. Campus, Building(s), Room # 5. G#

Signature of Department Approver(Required)

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.