Key Request Form

Requested By

Campus Phone

E-Mail

Key Issued To (If Different from Requestor)

Quantity Requested

Date Key Needed

Name of Building

Department

Door Number

Authorization: Department Chair/Dean/Director/Advisor

Name

Title

Date Approved

THIS KEY IS THE PROPERTY OF ST. LAWRENCE UNIVERSITY AND IS ON LOAN TO ME.
IN THE EVENT THAT THIS KEY IS LOST OR STOLEN, I WILL IMMEDIATELY NOTIFY THE FACILITIES
OPERATIONS (FO) DEPARTMENT AT EXTENSION X5601. SHOULD THE KEY BE LOST ON A WEEKEND
OR AFTER REGULAR BUSINESS HOURS, THE SECURITY OFFICE WILL BE NOTIFIED AT EXTENSION
X5555.
UPON SEPARATION OF EMPLOYMENT AND/OR STUDENT STATUS, ALL KEYS MUST BE
IMMEDIATELY RETURNED TO THE FO DEPARTMENT. THE EMPLOYEE MAY HAVE THEIR FINAL
PAYCHECK WITHHELD IF THEY DO NOT RETURN THEIR KEY(S) PRIOR TO LEAVING THE
UNIVERSITY.
DUPLICATION OF A KEY, OR THE POSSESSION OF AN UNAUTHORIZED KEY, IS PROHIBITED.

Checking this box becomes your electronic signature acknowledging that you have obtained the appropriate authorization and agree with the conditions above.