Facilities Management

Building Maintenance, Repairs & Renovations

Key Request

Person Requesting Key
First Name:	(required field)
Last Name:	(required field)
TNumber:	(required field)
Department:	(required field)
Position:
Phone Number:
Email:
Employment Classification:	Faculty Staff

Key Information
Building:
Room #:
What type of key is this?	New Issue Replacement Exchange
Please read and check the following statements:	I will not duplicate this key. I will not loan this key. I will return this key when my need or employment terminates.

To complete your key request, follow these simple steps:

Submit & Print this request sheet by clicking the button below. The request will be generated at the key shop.
Obtain required signatures on the printed request sheet and save for key pickup
When Public Safety calls, take the signed request form to the Public Safety office located in the Sharwan Smith Center Room #172 and exchange the form for your key

I have read Southern Utah University's policy on keys and I understand that keys issued to me must be returned upon termination of employment with the University. If keys are not returned, paychecks may be held until keys are returned. Keys remain the property of SUU and may not be duplicated.
_____________________________________________	__________________
Signature of Person to whom key is issued	Date
_____________________________________________	__________________
Signature of Department Head	Date
_____________________________________________	__________________
Signature of Dean or Director	Date

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Last Update: Monday, April 21, 2008

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