Fillable KeyRequest Thisformistobecompletedbythebuildingcoordinator ONLY,signed,andattachedtoaFAMISWorkOrder. FacilityServices (Louisiana State University)

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KeyRequest Thisformistobecompletedbythebuildingcoordinator ONLY,signed,andattachedtoaFAMISWorkOrder. FacilityServices (Louisiana State University)

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Rev.1/28/19



KeyRequest

FacilityServices



WO#_____________

Thisformistobecompletedbythebuildingcoordinator ONLY,signed,andattachedtoaFAMISWorkOrder.



□

NewEmployee

□

NewLock/Door

□

Lost

□

Stolen

□

Broken



□

Faculty



□

Staff

□

GraduateStudent

□

UndergraduateStudent

□

ExternalEmployee

RequestorInformation:



LastNameFirstName89Number 



JobTitleLSUEmailAddressPhoneNumber



DepartmentAccountNumberDate

KeyInformation:



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



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



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

Approval:



BuildingCoordinator(PrintedName)SignatureDate

Approval(RequiredforSub‐MastersandMasters):



Dean(AcademicArea)orDirector(Non‐Academic)(PrintedName) SignatureDate



TonyLombardo

TonyLombardo,P.E.,FacilityandPropertyOversi ght SignatureDate



BartThompson

BartThompson,ChiefofPolice,LSUPDSignatureDate

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employment,orwhenachangeinspaceassignmentoccurs,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University,key(s)mustbereturnedtoFacilityServices.

F. Ifa keyislost

orstolen,theDepartmentHead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.



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

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Completed 23 July 2020

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