Facilities Department - 419-755-4855 ~ Reference Key Property Use Procedure 17-401 Last Revised 3-1-12
NC State College Facilities Department
Key & Building Key Card Requisition Form 17-401a
Date Requested _______________
Employee Name ____________________________________ Office Phone: __________________________
Position ____________________________ Department ______________________ Building ________________ Room ________
This form covers all NC State buildings. Please check all that apply (only check 1 type of key per line) then fill in appropriate room number and
building where it applies.
Office Key
Classroom
Key
Room
Number
Building
Building Master
Key (list building)
Maintenance
Closet Key
Building Key
Card
(list building)
To be filled out by Facilities
Key Issued
Date
Issued
Key
Returned
1.
2.
3.
4.
5.
Authorizations –by signing below you are authorizing the above request(s).
________________________________________ _____________________
Employee Date
________________________________________ _____________________ ______________________________________ ___________________
Direct Supervisor/Dean Date VP of Business Services Date
ORC 3345.13: "No person shall knowingly make or cause to be made any key for any building, laboratory, facility, or room of any College or University which is supported wholly or in
part by the State of Ohio, contrary to any regulation respecting duplication of keys adopted by the Board of Trustees of such college or university."
ORC 3345.99: "Whoever violates section 3345.13 of the revised code shall be fined not less than fifty nor more than one hundred fifty dollars."
Procedure:
1. Fill out request and forward to the appropriate Dean or Vice President for approval.
2. Approved request will be sent to the Facilities Manager for processing.
3. The Facilities Manager will deliver all keys when available.
4. To return keys that are no longer needed, please call the Facilities Manager.
In no instance should a key be turned over to another employee. The keys are recorded to each employee who is held responsible for those keys.
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