Permit Request • CampusOptics

To avoid delays, completed forms must be submitted to EHS 48 hours prior to needing the Portable Fire Extinguisher.

Start date is the date you will pick up the extinguisher from EHS.

Expiration date is the date and time you will return the extinguisher to EHS.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Campus, Building, or Outdoor Area* Required

Additional Location Details

Student Organization* Required

Phone Number* Required

Location of Use* Required

Serial number

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

Files