Exception Request Form

Step 1
All fields below are mandatory and must be completed unless they are marked as optional. Please note, filling and completing this form DOES NOT mean that your request has been approved.

How to Contact Us

 Submitter Information  

Full Name

Organization

BNL Department Code

Building Number

Work Phone

Email Address

Are you a US Citizen? Yes No

If you are not a US Citizen, select your citizenship below. If your citizenship is not listed, select "Country Not Listed" and complete the "Other Citizenship" field shown below.

BNL Guest Number

Reason for Request (2000 char limit)


 Sponsor/Host Information  

Full Name

Phone Number

Department Code

If you are experiencing problems, please contact the Main Gate Visitors Center (631.344.4720 or 631.344.2464) for assistance. Due to the volume of visitors, please do not call the main gate with information.

 

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Last Modified: June 22, 2011
Please forward all questions about this site to Vicki Feldman


Visit our Anniversary Website One of ten national laboratories overseen and primarily funded by the Office of Science of the U.S. Department of Energy (DOE), Brookhaven National Laboratory conducts research in the physical, biomedical, and environmental sciences, as well as in energy technologies and national security. Brookhaven Lab also builds and operates major scientific facilities available to university, industry and government researchers. Brookhaven is operated and managed for DOE's Office of Science by Brookhaven Science Associates, a limited-liability company founded by the Research Foundation for the State University of New York on behalf of Stony Brook University, the largest academic user of Laboratory facilities, and Battelle, a nonprofit, applied science and technology organization.

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