Permit Request • CampusOptics

For permit start time, please enter the date that the work is expected to started. For expiration date/time, please put the date the job is supposed to end, or at least 2 days after the start time.

Requester

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Campus, Building, or Outdoor Area* Required

Additional Location Details

Basic Information

Description of Use* Required

Duration of use* Required

Scaffold users* Required

Employees
Students
Visitors
Contractors

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files

Requester

Permit Date & Time

Location

Basic Information More information

Add Supporting Documents

Basic Information