Login Request Form
Asterisks (*) indicate required fields


Are you a Principal Investigator?
DO NOT COMPLETE THIS FORM. Contact an EH&S Coordinator to gain access to CiBR-Trac.

InstructionsComplete this form and click on the Submit button to request access to an existing PI account. At a minimum you must complete the fields marked with an asterisk.

Information about you
Name*
UCI NetID*
eMail*

Information about the PI
PI UCI NetID*
Submit
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