TWU FMC Access Control
Master or Grandmaster Key Request Form
D
ocument Number: 1110.01-A
FMC Division: Physical Plant
Page 1 of 1
1110.01 - A
Revised by C. Williams 09.18.2019
X:\My Shared Folders\FacMgt\FACILITIES BUSINESS & SUPPORT SVC\POLICIES & PROCEDURES\University Regulations & Procedures_URPs\Forms & Procedures\1101.01_A FMC Sub_Master_GM Request Form_v2.docx
This document is submitted in accordance with TWU’s URP I.17.c and is submitted with the intent to assign
the requested key as follows:
Building and Key Requested (Master or GM)
Requestor Phone Number (incl. Area Code)
Name of Person Key Requested For
Title of Person Key Requested For
TWU ID # of Key Requested For (Ex. 900123456)
Email for Person Key Requested For
KEY ASSIGNMENT JUSTIFICATION
* Unless FMC or DPS personnel, must list specific areas and rooms for which access is requested.
Requesting Key Holder (Signature)
Date Signed
Departmental Authorizer (Printed Name)
Departmental Authorizer Title
Departmental Authorizer (Signature)
Date Authorized
Processed by (FMC staff)
Date Processed
Signature - AVP, Facilities Mgmt, & Construction
Date Authorized
Signature - VP, Finance & Administration
(Required for Grandmaster)
Date Authorized
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