Access Form - West Campus

The Yale West Campus Access Form is used to add or delete access for occupants of Yale West Campus. The access form is only for new occupants to West Campus. Email Please allow 24 hours for processing. For any field that is not applicable, please enter NA.

Type of Access
Please check one of the selections. Check “Add” if you are requesting to add access to a West Campus building or area for a new or existing employee. Check “Delete” if you are requesting to delete access for an employee to any West Campus building or area.
New employee information
The Proxy ID number appears on the back lower left corner of the employee badge. Usually starts with a letter followed by a series of numbers. It is not the UPI number.
Full name of the new employee’s new manager.
New employee’s office phone number or department phone number.
Complete building name and address in which the new employee will be working on campus – to include office or cubicle number.
Affiliation information
Full name of the department with which the employee is affiliated. E.g. MCDB, EEB, or Microbial Pathogenesis.
Non-Yale Affiliate
Submission of this form includes access to the front and back entrances of West Campus and access to the Conference Center. Please indicate additional building access needed.

Contact your institute/core administrative assistants or West Campus Administration if you have any inquires about this form.

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.