Rev.10/9/18
ContractorKeyRequest
OfficeofFacilityServices
ThisformistobecompletedbytheContractor,signedandreturnedtotheLSUFacilityServicesProjectManager.
RequestorInformation:
T38ProjectPDCProjectOther
CompanyNameDueDate
LastName FirstName 89#PhoneNumber
EmailAddressDate
KeyInformation:
BuildingRoom# KeyCode Comments
BuildingRoom# KeyCode Comments
BuildingRoom# KeyCode Comments
Approval:
ProjectManager(PrintedName)SignatureDate
IssuanceAgreement:
Iacknowledgereceiptoftheabovelistedkey(s)andadheretothe keycontrolpoliciesandproceduresaspertheUniversityRulesandRegulations:
A. Key(s)remainthepermanentpropertyofLouisianaStateUniversity.
B. Individualsmaynotloankeystoanyone.
C. OnlyanLSUlocksmithmayduplicateLSUkey(s).
D. BuildingCoordinatorsaretheonlyauthorizedindividualstounlockdoors,andonlywhentheyarecertainthattheindividualisauthorized
tobeinthebuilding/room/area.
E. Uponterminationofcontract,key(s)mustbereturnedtoFacilityServices.Afeewillbechargedforeachunreturnedkey,plusthecostto
replaceeachcorethatthekeyoperates.(MasterKeyswillopenmultiplecores)Duringperiodsofextendedleaveoraleaveofabsence
fromtheproject,key(s)mustbereturnedtoFacilityServices.
F. Ifa keyislostorstolen,theProjectManagerandLSUFacilityServicesmust
benotified.Also,apolicereportmustbefiledwithLSUPD
andacopyofthereportmustbeattachedtothe FS WorkOrder.

Signature(SignOnlyUponReceivingKeys)Date
Signature(SignOnlyUponReturningKeys)Date
ApprovalSignature(FacilityServicesLockShop)Date