Humboldt State University Controlled It Spaces Visitor Log

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Humboldt State University
Controlled IT Spaces Visitor Log
Rev. 2/1/12
Controlled IT Space Room Number ________________
Visitor AGREEMENT TO ACCEPT RESPONSIBILITY
 Access to the HSU Data Center, Core Distribution Rooms, and Telecommunications Spaces is limited to authorized
personnel only. Unauthorized access to the HSU Data Center, Core Distribution Rooms, or Telecommunications spaces
must be reported to University Police and the Information Security Office.
 Violators are subject to disciplinary action up to and including dismissal from employment, expulsion from the University,
and civil or criminal prosecution, as appropriate. Disciplinary action shall be conducted in accordance with applicable
collective bargaining agreements or other appropriate University policies.
 By signing below, I certify that I have read and understand the above terms, and agree to the terms.
Visitor Name
Company/Org
Escort Name
Date:
Time In
Time Out

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