Key/Card Request
Trent University
1600 West Bank Drive
Peterborough, ON K9J 7B8
Phone: 705-748-1011 ext. 7324 Fax: 705-748-1158
http://www.trentu.ca/parking/locksmith.php
Account No:
Requested for: Requested by:
Name:
Department:
E-mail:
Phone:
Department:
Keys/Cards Requested:
Building:
Room (e.g. DNA B 104.2):
Status:
Signature
Door:
Building:
Room (e.g. DNA B 104.2):
Door:
Designated Authority:
Please note that only Designated Authorities for each department are authorized to request keys. Once completed, you may click
the submit form button and if emailed from the Designated Authority's Trent email account no signature is required or fax the form
to the Access Control office at 748-1158 or send this form by internal mail to Parking and Access Control Office, BH. IF YOU FAX/E-
MAIL THIS FORM, PLEASE DO NOT MAIL IT AS WELL. INCOMPLETE FORMS WILL BE RETURNED TO REQUESTER. ALL FORMS REQUIRE
AN ACCOUNT CODE. Once your order is complete the Parking and Access Control office will contact you to arrange pick up of the
keys.
Number of Keys/Cards Requested:
Visual Code (e.g. BB3):
Number of Keys/Cards Requested:
Visual Code (e.g. BB3):
Date: (d/m/y)
Reason for Request
Date Keys Received Signature
Name
RMD
Total Cost:
Card Expiry Date (if applicable): Card Expiry Date (if applicable):
Date Keys Returned
DA
Key Holder
Colleague #:
(To be completed by Designated Authority)
Colleague #:
Phone:
Email:
To be completed by Locksmith:
Key Wizard Number(s): Key Wizard Number(s):
For office use only:
