Permit Request • CampusOptics

Submission of form does not guarantee permit will be granted. Please submit request minimally 2 business days prior to the anticipated start date of your project. Prior to commencing work, please ensure that you have received confirmation that the requested devices have been de-activated.

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

Requester Information (To Be Filled Out by Requestor)

Company* Required

RIT Contact* Required

Permit Request Information (To Be Filled Out by Requestor)

RIT Job Number* Required

Reason For impairment* Required

Specific devices to be taken offline (include device addresses)* Required

Daily Hours of work* Required

Additional information (To be filled out by approver)

Will points be disabled for the duration of the project

If points are to be re-enabled enter time frame points will be disabled and re-enabled daily

Add Supporting Documents

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

Files