FAYETTEVILLE STATE UNIVERSITY
MASTER/BUILDING KEY REQUEST FORM
KEYHOLDER'S NAME TITLE DATE
DEPARTMENT BUILDING ROOM
CAMPUS PHONE NUMBER
DEPARTMENT APPROVAL / / /
DEAN/DIRECTOR DEPT. CHAIR VICE CHANCELLOR
/ /
CAMPUS POLICE AVC FACILITIES
KEY RETURN DATE (IF TEMPORARY EMPLOYEE OR STUDENT)
NOTES / COMMENTS:
**1 KEY PER PERSON PER ROOM**
TO BE COMPLETED BY REQUESTOR FOR FACILITIES MANAGEMENT USE ONLY
Quantity Room# Building Hook# Serial # Key Code Issued Date Signature
POLICY STATEMENT
1. Complete form in full, obtain appropriate signature, then mail, fax (1113), or deliver form to Facilities Management.
** Please remember that missing information on form may cause delay in timely processing and issuing of keys. **
2. Wait for notification from Facilities Management by email before attempting to pick up keys.
3. The key holder is to be the only individual allowed to pick up their keys (must bring photo identification). If there
is someone other than the key holder picking up keys on the key holder’s behalf, the person picking up the keys must
have an original signed memo from the department chair/director approving the pick up.
4. No students will be allowed to pick up any keys for any department; however, this does not include student employees.
Student employment may be checked through the Personnel Office prior to release of keys.
5. Keys can be picked up at the front desk of Facilities Management/Control Center – located off of Martin Luther King, Jr. Lane,
6. Keys not picked up within 30 days will be returned to the Key Shop.
7. Anyone leaving employment at FSU must turn in keys to Facilities Management--not the Department. See Key Return Form.
FAYETTEVILLE STATE UNIVERSITY KEYS ARE NOT TO BE DUPLICATED.
KEYS MUST BE RETURNED TO FACILITIES MANAGEMENT ON REQUEST OR TERMINATION.
*** DISCLOSURE OF SOCIAL SECURITY NUMBER IS VOLUNTARY - FOR RECORD KEEPING PURPOSES ONLY.
FACILITIES MANAGEMENT CONTACTS: Allen Williams Ext. 1976 Henry Brunson Ext. 1827
M. Charisma Brown Ext. 1431
11/21/2011 6634b9bf-40d6-4bb1-b1e7-e8654e91cd1a.xls D:my documents/forms/key