Permit Request

Please select if you are a NSHE Employee or a contractor.

* Indicates a required field.

* Requester Name:

* Requester Phone Number:

* Requester Email:

* 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:

Upload Relevant Files (pdf):

Your permit has been submitted for approval. You will receive an email once your permit has been approved.