Facilities Management

Key Authorization Form (revised 11/03)

(return to: Facilities Management or Key Policies)


Date: ____________________

Name: ___________________

Department: _____________________



Check one:

[ ] Student

[ ] Staff

[ ] Faculty

[ ] Other ______________________


*Supervisor's Authorization: __________________________ (Signature required)

Building Manager's Authorization: _____________________ (Signature required)

Date to be Returned: _________________________________

 
Building
Room Number
Key No. (if known)

1. ________________

________________
________________

2. ________________

________________
________________

3. ________________

________________
________________

4. ________________

________________
________________

5. ________________

________________
________________

6. ________________

________________
________________

 * This person is responsible for collecting and returning keys to the Facilities Office if the person who was originally issued the keys does not turn them in to the Facilities Office.


This page is maintained by B. Ray.