Request for Permission Form

Before submitting a request form, first carefully review UAB’s guidelines to determine whether or not your request meets the criteria for review.

First Name

Last Name

Phone Number

Are you affiliated with UAB (e.g. employee or student) or a third-party vendor?

Affiliated with UABThird-party Vendor

School/Unit Name

Business/Organization Name

Does your organization / business have a current existing contract in place with UAB?

YesNo

Please upload a copy of the contract

Please indicate the nature of your request for permission.

Please select the UAB logo that’s requested

Please describe, in full detail, the nature of your request

Please share any relevant web links for review

Please upload any relevant graphics or documents for review

Start date for use of branding requested

End date for use of branding requested