Facilities Forms

If a life-threatening emergency (medical, safety, chemical / smoke / natural gas smells, or fire)	Call 911
If a facilities emergency (flooding, tripped breaker, etc.) Between 7:30am–5:00pm Before 7:30am / After 5:00pm	Call 9-4444 Call 9-4861

Please select one of the facilities request forms below:

• Incident Report - Report an incident or issue
• Work Order Inquiry & Request Form - Submit a work order inquiry or request
• Ergonomics Request - Notify the divisional ergonomics coordinator to help you with necessary ergonomic adjustments
• Access Code Request - Request an omni-code for access to Humanities facilities (for existing staff or faculty only)
• Key Request - Request a key for access to Humanities facilities (for existing staff or faculty only)
• On-boarding Form - Fill out the on-boarding form for new Humanities staff or faculty
• Off-boarding Form-Fill out the off-boarding form for staff or faculty

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Please view the Humanities Key, Access Code, and ID Card Protocol here

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Please view the standard office furniture and equipment complement provided by the Humanities Division:

• Furniture and Equipment Standard

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Facilities Support Contact:
Tony Grant
Space and Operations Assistant
Division Ergonomic Assessor
Facilities Security Coordinator
Mobile: 831-428-1733
Phone: 831-459-4710
Fax: 831-459-5494
Email: tegrant@ucsc.edu
Mailstop: HBO