Fillable Key Request Form1 (University of Hawaii at Hilo)

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Key Request Form1 (University of Hawaii at Hilo)

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University of Hawai`i at Hilo Auxiliary Services
KEY REQUEST FORM
(Please Print) LAST NAME: FIRST NAME: UH ID:
DEPARTMENT/PROGRAM: NAME/TITLE & CONTACT PHONE OF APPROVING AUTHORITY:
The Security Lock and Key Policy requires written subscription authorization for each key issued for facilities. To obtain key(s):
1) Determine which building, room and/or doors you need access
2) Obtain written authorization
3) Submit this completed form to Auxiliary Services
4) You will be contacted when key(s) are ready for pickup - signature required
5) After usage, return key(s) by date specified to Auxiliary Services.
An annual review will update costs. Currently replacement keys are $2 each, rekeying locks are $30 each, and replacing locks are $200 each.
BLDG/ROOM/DOOR RETURN BY APPROVING AUTHORITY SIGNATURE RECEIPT SIGNATURE KEY # KEY
CODE
ISSUE
DATE
RETURN
DATE
Special Comments:
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Key Request Form1 (University of Hawaii at Hilo)

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Completed 23 July 2020

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