Fire Protection Impairment (Red Tag) Permit Request

Requester

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

Select All That Apply:* Required

Valve Number/Equipment Identification Number:* Required

Reason For Impairment (be specific):* Required

Add any other details as needed.

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

Files