Key Request Form

Name

Email

Department

Banner ID

Title

Extension

Department Supervisor Email

Email of Requestor (if different from above)

# of Keys	Key Stamp (if known)	Room #	Building
# of Keys	Key Stamp (if known)	Room #	Building
# of Keys	Key Stamp (if known)	Room #	Building
# of Keys	Key Stamp (if known)	Room #	Building
# of Keys	Key Stamp (if known)	Room #	Building
# of Keys	Key Stamp (if known)	Room #	Building

Additional Information

I request the described key be issued to me. I understand that this key is the property of the College of Saint Benedict and its loss will be reported immediately to campus security. By accepting this key I acknowledge my responsibility for all property and/or records secured by the lock operated by this key. I agree to accept all financial responsibilities associated with replacing coinciding keys and locks should this key be lost. I will not duplicate or transfer this key to any other person and will surrender it to the Physical Plant when I no longer have a need for the key or end my employment at the college. I agree to abide by the college policy and procedures.

I agree to these terms.