Fill - Free fillable ContractorKeyRequest ThisformistobecompletedbytheContractor,signedandreturnedtotheLSUFacilityServicesProjectManager. T38ProjectPDCProjectOther OfficeofFacilityServices (Louisiana State University) PDF form

Rev.10/9/18



ContractorKeyRequest

OfficeofFacilityServices



ThisformistobecompletedbytheContractor,signedandreturnedtotheLSUFacilityServicesProjectManager.

RequestorInformation:

 □T‐38Project□PDCProject□Other

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CompanyNameDueDate

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LastName   FirstName  89#PhoneNumber



EmailAddressDate

KeyInformation:

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BuildingRoom#  KeyCode  Comments

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BuildingRoom#  KeyCode  Comments

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BuildingRoom#  KeyCode  Comments

Approval:



ProjectManager(PrintedName)SignatureDate

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IssuanceAgreement:

Iacknowledgereceiptoftheabovelistedkey(s)andadheretothe keycontrolpoliciesandproceduresaspertheUniversityRulesandRegulations:

A. Key(s)remainthepermanentpropertyofLouisianaStateUniversity.

B. Individualsmaynotloankeystoanyone.

C. OnlyanLSUlocksmithmayduplicateLSUkey(s).

D. BuildingCoordinatorsaretheonlyauthorizedindividualstounlockdoors,andonlywhentheyarecertainthattheindividualisauthorized

tobeinthebuilding/room/area.

E. Uponterminationofcontract,key(s)mustbereturnedtoFacilityServices.Afeewillbechargedforeachunreturnedkey,plusthecostto

replaceeachcorethatthekeyoperates.(MasterKeyswillopenmultiplecores)Duringperiodsofextendedleaveoraleaveofabsence

fromtheproject,key(s)mustbereturnedtoFacilityServices.

F. Ifa keyislostorstolen,theProjectManagerandLSUFacilityServicesmust

benotified.Also,apolicereportmustbefiledwithLSUPD

andacopyofthereportmustbeattachedtothe FS WorkOrder.



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Signature(SignOnlyUponReceivingKeys)Date

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Signature(SignOnlyUponReturningKeys)Date

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ApprovalSignature(FacilityServicesLockShop)Date



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ContractorKeyRequest ThisformistobecompletedbytheContractor,signedandreturnedtotheLSUFacilityServicesProjectManager. T38ProjectPDCProjectOther OfficeofFacilityServices (Louisiana State University)

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