PLEASE NOTE:  Once this Key/Lock Request form has been received by the key shop, it will be forwarded to the Department Head who has the authorization to dispense funds from the departmental account listed. When e-mail approval  and/or confirmation is received by this office, the key/lock request will be processed and completed within a maximum (in most cases of Routine Maintenance Requests) of three (3) working days.  If this request is an EMERGENCY, please specify in the "Special Instructions" block below and contact our EMERGENCY phone numbers at 726-4259 or 726-2711.

Requester Information:

Date Needed:      Name:

Department:     Phone Ext:

E-Mail Address: 

Department Head Information:

Name: Phone Ext:

E-Mail Address:   

Departmental Charge Account Number:

Does the Department Head require an estimate of charges to be incurred before the work is completed by the Key Shop?   Yes No

Work Order Information:

Is this request for a member of the:     Staff Student Body Faculty

Is this request the result of Lost/Stolen keys?    Yes No (A police report may be required)

Name of Building Where Work is to be Performed: 

Room Number (or description of area):   

Description of Work to be Performed: 

Special Instructions: