Check-in/out and disinfection checklist

Failure to complete this form or any of the duties listed below may result in access being revoked.

Information and privacy: questions regarding the collection of information on this form can be directed to the form administrator.

I am: * (required)
e.g., EV2-1008A
Date: * (required)
I want to: * (required)
Check-in time: * (required)
Check-out time: * (required)


Disinfection must happen twice daily. If you are in for less than a half day, disinfection must be performed just once when you leave.

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