Permit Request • CampusOptics

Impairment permit must be submitted 48 hours prior to work beginning. Please contact EHS-firesafety@usf.edu

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

Fire Watch Start Date* Required

Fire Watch Start Time* Required

Fire Watch End Date* Required

Fire Watch End Time* Required

Name* Required

Additional Location Details

Requestor for Impairment* Required

Requestor Name* Required

Details/reason of Impairment* Required

Requested Date of Impairment* Required

Requested Time of Impairment* Required

Requested Date System Restored* Required

Requested Time System Restored* Required

Fire Protection System Impaired* Required

Other (if applicable)

Details of impairment

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

Files