Permit Request
Permit Request
Please select if you are a NSHE Employee or a contractor.
Please Select
NSHE Employee
Contractor
* Indicates a required field.
* Requester Name:
* Requester Phone Number:
* Operator Name:
(check if same as requester)
* Operator's Phone Number:
*
Department:
Company Name:
* Building:
* Room/Location:
* Job Start Date:
* Job Start Time:
* Job Description:
Submit Permit
Thank you. Your permit number is:
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