Online Key Request Form

Request Date: 

Name of the person key will be issued to:           

Title:             Employee #: 

Department: 

Phone: 

Email: 

Name of Dept. Head/Chairperson requesting key: 

# of keys requesting: 

Building & Room #: 

Building & Room #: 

Building & Room #: 

Building & Room #: 

Building & Room #: 

Note:    By accepting keys to a specified building, buildings or facilities, the employee agrees to accept responsibilities as outlined in accordance with University policies in the Classified Staff Employee Handbook.  When an employee leaves the University, keys are to be turned into the Physical Plant.  The same procedure is followed when transferring from one department to another.  The Physical Plant Office will notify the employee's supervisor when the key(s) are returned. 

The employee agrees to accept the following responsibilities:

1. To promptly notify the Physical Plant Office if keys issued are lost, stolen or missing. 
2. To compensate the University for the cost of replacing key(s).
3. If key(s) are lost due to negligence on the part of the employee, appropriate disciplinary action may be taken in accordance with University policies.