Facilities Management

Building Maintenance, Repairs & Renovations

Key Declaration Form

Please complete and submit this form. A copy will print for your own records.

Name:  
Email:
TNumber:
Department/Division:
Position:
Phone Number:
Employment Classification: Faculty Staff Hourly
Keys in your Possession:
Building Room/Location Key Number Quantity

I verify that this information is correct. By typing my name into this signature field I understand that it is to be accepted and recognized as an electronic signature.
Signature:
Date:

Should you have any questions, please call extension 7769. Please return any unneeded keys to the Locksmith Shop. Thank you.

 


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Last Update: Monday, August 20, 2007



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