TENNESSEE TECHNOLOGICAL UNIVERSITY
NEW KEY REQUEST
Any keys issued to key holder must be returned to Facilities once no longer needed.
Date:________________
Name:_____________________ _____________________ _________ T#:_________________________
(Last) (First) (MI)
Department:____________________ Account No:_____________ Box#: ________ Ph #:______________
Status: Faculty____ Staff _____ Action: New Key _____ Key(s) Lost or Stolen ____
Other_______________________
Building Room(s)/Door(s) No on Key For Office Use Only
Authorization
for Key
Request:
Departmental Chairperson Date Dean or Administrative Officer Date
Printed Name of Chairperson Printed Name of Dean or Administrative Officer
Signature of Applicant indicating Date
receipt of key(s)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Upon completion of this form, send to Facilities, Box 5041. Report lost or stolen keys to University Police. Keys will be held for
30 days, if not picked up within 30 days the department will be charged and the key will be destroyed.
