Forms

Access Request Form for No UCPath Appointment in Semel/Psychiatry/NPH

Click the access category you are requesting

DO NOT select Affiliate category for a UCLA student registered with UCLA Health Volunteer Services – select Volunteer category instead.

These are users who work for an affiliate, like Olive View, other UCs, or staff who fall under UCLA campus departments and has a sponsorship from Semel/Psychiatry/NPH.

UCLA paid users from Extended Business Offices, temporary employees, and consultants that require access to multiple Mednet resources, perform daily department operations, and are not administrators of systems. This should not include Volunteers, as they are not paid.

Meets BFB-BUS-77 Independent Consultant Guidelines https://policy.ucop.edu/doc/3220485/BFB-BUS-43, https://policy.ucop.edu/doc/3600670/Independent Contractor

Visiting graduate researchers are degree-seeking students at other institutions who come to UCLA to conduct short-term doctoral research or participate in a mentored or independent research project with a UCLA faculty member. They are not enrolled as students but they are registered by the UCLA graduate division and pay specified fees. Sometimes they are entered into UC Path when they have a grant that is paying them. When the grant ends, they are terminated in UC Path, but may continue as an external researcher to finish their work. These users are managed by the UCLA graduate division and even if they are in UC Path, a separate affiliate record should be created as an external researcher with the end date for their work. This will prevent them from being terminated should their grant expire before they are done.

More information, https://grad.ucla.edu/academics/research/visiting-graduate-researchers/

Students include users who are affiliated to UCLA because they are some kind of student. Interns are considered students. Need access to participate in training or internship.

Attention!

Applying for mednet vpn access?

Only supervisors/managers should complete this form!

Attention!

Applying for access request with no UCPath appointment?

Enter user's name.

Please SELECT ONE of the categories below that the user belongs to.

Note: If none of these apply to you, then you should not fill out this form.

For a definition of each category, hover over here!
CATEGORY DEFINITION
Affiliate A student or staff in non-UCLA Health department.
Contractor Meets BFB-BUS-77 Independent Consultant Guidelines https://policy.ucop.edu/doc/3220485/BFB-BUS-43 https://policy.ucop.edu/doc/3600670/Independent Contractor
Collaborator User who is a student or staff in other universities and is part of an IRB.
Intern User is not enrolled in any UC campus as student. Need access to participate in training or internship.
Volunteer Registered with UCLA Health Sciences Volunteer Program https://www.uclahealth.org/volunteer/ucla-health-sciences-volunteer-program

just making sure you're not a robot

Attention!

Applying for Research careconnect access?

Please contact Semel Research CareConnect at SemelResCon@mednet.ucla.edu.