Facilities Request

This form is intended to be used for routine maintenance requests.

Call 911 for emergencies involving the following:

Emergency Conditions:

Life Safety
Health Safety / Serious Injury
Property

Buildings/Areas:

570 Lexington Ave
Breazzano
Sage Hall
Statler Hall
Tata
Warren Hall

You will be emailed a confirmation of your request from TDX upon submitting the form below.

Phone Number

Has This Already Been Reported?

Yes

No

Unsure

Completed

Title

A short description to explain the nature of a ticket.

Category

Building

What Building(s) do they need access to?

Area

Room or Location of Request

Who is the request for?

College Faculty or Staff Group of Students Single College Student Student Employee TA/RA Vendor Visitor

Which Group of Students?

If Card Access is being requested for a Group of Students, please attached a text or spreadsheet file containing the list of student name, NetID, Group (MBA, MS, MPS, etc., and EMPLID)

Do they currently have a valid CU ID?

If you don't have an active CU ID for this person, they will need to either reactivate their NetID or if they don't have a CU NetID and ID Card, they will have to contact College Facilities to fill out a sponsored NetID request form. https://it.cornell.edu/netids/how-request-spons...

Name

NetID

EmplID

Date and Time Access should Commence

Date and Time Access should End

Supporting Information

The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Attachment

If Card Access is being requested for a Group of Students, please attached a text or spreadsheet file containing the list of student name, NetID, Group (MBA, MS, MPS, etc., and EMPLID)

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Your name

Your email address

Verification Code

Facilities Request

Other Fields