FACILITIES PLANNING, MANAGEMENT AND OPERATIONS
KEY REQUISITION
(Fill in the blanks and print out the form)

Department:

Date of Request
Name of Building:

Room/Location
Key Issued To:


                  Typed Name

__________________________________
                             Signature (Required)

      Reason for Key Request:

CORE
NUMBER(S)
QUANTITY DESCRIPTION LOCKSMITH’S
INITIALS
__________
__________
__________
__________
__________

 

Approved:

_________________________________
Department Head


__________________________________
Vice President
(Signature required for request of keys to outer doors of building)


_________________________________
Executive Director/Facilities

NOTE: Please allow seven (7) working days for keys to be processed.  Keys will be issued from 3-5 p.m.
             daily.    Please  call 274-6162 in advance and ask for the Key Control Clerk.

Notified to pick up key(s):   _____________________ Date: ________________

Key(s) picked up by: _________________________   Date: _______________
                                                        Signature
                                             (must be picked up by person who will use the keys)

* A $50.00 charge will be assessed for replacement of a lost key.

REVISED
1/29 CVC