Rev 12/2019 (SEE REVERSE FOR DEPARTMENTAL USE ONLY)
KEY REQUEST FORM
LAST NAME
FIRST NAME
A#
DEPARTMENT / AREA
PHONE # / EXTENSION
POSITION
LOCATION / BUILDING NAME
ROOM NUMBER(S)
KEY #
Alarm Building (Dental or Welding)
Alarm Code Assigned
Procedure for Requesting Keys
1. The employee requesting a key must complete the “Key Request Form” and obtain all appropriate authorizing
signatures. If the form is not completed correctly, keys will not be issued.
2. Key requests must be approved by the employees immediate supervisor and area Vice President.
3. 3. Key requests by faculty must be approved by their Division Chair and the Vice President of Instruction.
4. The fully executed “Key Request Form” shall be submitted to the Director of Facilities and Planning for final review,
approval, and issuance of District keys.
5. All keys will remain the property of West Kern Community College District. Keys must be returned to Human
Resources when no longer required by the individual to whom they are issued.
6. Duplicated keys shall not be obtained from sources other than Facilities and Planning. Loaning and/or transferring of
keys is prohibited.
7. Any loss or damage to keys shall be reported to the Director of Facilities and Planning immediately.
8. The employee shall be responsible for any fees associated with re-keying and/or replacement of keys and lock
cylinder, for failure to return issued keys. (Current total cost for this service is $75.00 for each key and lock cylinder
combination and is subject to change.)
I, __________________________________________, have read the above procedure and agree to adhere to the
procedures set forth therein.
Signature: _____________________________________ Date: _____________________________
MANAGER/DIVISION CHAIR NAME
APPROVED
DISAPPROVED
AREA VICE PRESIDENT NAME
APPROVED
DISAPPROVED
click to sign
signature
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PROCESSING OF KEY REQUEST FORM
1. Upon completion and approval of the Key Request Form key(s) are issued to the employee.
Key Number Issued
Employee Signature
Date
DATE KEY(S) ISSUED:
ISSUED BY:
FM&O INITIAL
2. Facilities Maintenance and Operations (FM&O) provides a fully executed copy of this form Human Resources
(H.R.). H.R. maintains the original signed Key Request Form in the employee’s personnel file.
DATE KEY REQUEST
FORM RECEIVED:
H.R. INITIAL
3. Upon employee exit or need for a change of keys, H.R. collects the keys from the employee.
4. H.R. returns the keys and the original signed Key Request Form to FM&O:
Key Number Collected
H.R. Initial
Date
5. Returned keys received by FM&O:
Key Number Collected
FM&O Initial
Date
6. The final original signed Key Request Form is then returned to H.R., a copy is maintained in the FM&O office.
DATE KEY RETURNED:
H.R. SIGNATURE