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Key Request Fillable Form Print File

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CALIFORNIA STATE UNIVERSITY, FRESNO
KEY REQUEST FORM
TO: Key Control, MS PO 88
Date:
FROM: MS#
Ext.
School, Department, Division or Office
Approved by: Approved by:
Dean, Dept. Chair, or Division Head
Original Signature Only
Key Control
1. First & Last Name 2. Classification (see
Back of Form)
3. Fresno State ID 4. Bldg. or Area 5. Type of key: Master,
Submaster, Bldg. Entry,
Room, etc.
6.
LOCKSMITH
USE ONLY
INSTRUCTIONS:
LOCKSMITH'S USE ONLY:
Completed by: Date: Processed by: Date:
08/2007
1. Submit an original
Key Request Form to the Key Control office at least five (5) working days prior to the date
keys are needed. Retain a copy for your own files.
2.
All requests must be approved by the appropriate Dean, Dept. Chair, or Division Head. Original signatures only
.
3.
Use a separate line for each key requested.
4.
All requests must be typewritten or printed legibly.
5.
List individual's Campus generated ID number (Fresno State ID).
6.
Requests for master or submaster keys; keys for students, or consultants must be accompanied by a
separate
written justification, signed by the appropriate Dean, Department Chair, or Division Head.
7.
Additional form required for Great Grand Master keys
. Form is available from Key Control. Please allow extra
time for processing.
Please Print Name
8.
NOTE:
An individual will be issued only one key per lock.
Email:
C - Consultant
C - Consultant
C - Consultant
C - Consultant
C - Consultant
C - Consultant
C - Consultant
Victor E. Bulldog SS 12345 Thomas Building Entry
INSTRUCTIONS
Faculty F Student Assistant SA
Part-Time Faculty
Support Staff
Teaching Assistant
Lab Assistant
PTF
SS
TA
LA
Work Study Student
Research Student
Graduate Assistant
Consultant
WSS
RS
GA
C
If the above codes do not apply, call 278-2172.
JUSTIFICATION: All requests for Master or Submaster keys; keys for students, or consultants must be accompanied by a separate written
justification of need, signed by the appropriate Dean, Department Chair, or Division Head. Justifications lacking sufficient detail will be
denied and returned for additional information.
ALL INCOMPLETE OR INCORRECT REQUESTS WILL BE RETURNED TO DEPARTMENTS FOR CORRECTION.
When the keys are ready, your department will be notified by telephone. Keys must be picked up within thirty (30) days from the date of
notification. Thereafter, the keys will be returned to the Lock Shop for reissue. If the keys are still needed, they must be reordered.
PENAL CODE 469:
11/2008
FURTHER KEY INFORMATION MAY BE OBTAINED BY CALLING 278-2172.
Any person who knowingly makes, duplicates, causes to be duplicated, or uses, or attempts to make, duplicate, cause to be duplicated, or
use, or has in his possession any key to a building or other area owned, operated, or controlled by the State of California, any State
agency, board, or commission, a county, city, or any public school, or community college district without authorization from the person in
charge of such building or area or his designated representative and with the knowledge of the lack of such authorization is guilty of a
misdemeanor. Added, Stats. 1970, chap 1090.
1. Submit an original Key Request Form to the Key Control office at least five (5) working days prior to date needed.
2. All requests must be signed by the appropriate administrator in the space provided.
3. Use a separate line for each key ordered.
4. First Column: Name of individual for whom the key is requested.
5. Second Column: Use only the following classification codes:
6. Third Column: List individual's Campus-Generated ID Number (Fresno State ID).
7. Fourth Column: List the name of the building or area for which the key is requested.
8. Fifth Column: State the type of key desired, master, submaster, building entry, room number, etc.
9. Sixth Column: Do not write in this column. This is reserved for the Locksmith.
10. Keys must be picked up in person. Present appropriate I.D. (i.e., Student I.D. and/or Drivers License).
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Completed 9 April 2020

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