The form below will submit a change request to, and will be validated prior to an NSC change. 

This validation process will involve a payroll/human resources check, and/or a departmental authorization check (via e-mail or telephone). It may also include a contact with the person completing the form. Once the request is determined valid, the change will be made to the permanent NSC database. 

All fields on the form must be completed, or the request will not be honored.  Please complete the following and press "submit".

Network Security Contact (NSC) Information
Indicate Buildings you would like to be added to/removed from
Separate with commas and use standard building abbreviations
Enter any extra information