11.07.2015 Views

Policies & Procedures Manual - Elizabeth City State University

Policies & Procedures Manual - Elizabeth City State University

Policies & Procedures Manual - Elizabeth City State University

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

400.5.4 [F]Adopted: 06/10/08(Last updated: 06/09/09)Page 1 of 1ELIZABETH CITY STATE UNIVERSITYRequest for Keys/Change of Locks FormInstructions:1. Please submit this form to request keys, return keys, change locks, or to report lost or stolen keys.2. Forward completed form with required signatures to the Director for Facilities Management.3. Keys may only be given to the individuals who submit the request.Please Print or Type All InformationName of Person Making Request: ________________________________________Date: _____________________Reason for Key Request___ New Employee___ Return of Key(s)___ Change of Lock (Please list reason below*)___ Lost Key(s) **___ Other ________________________________ Lost key reported to Campus Police**(Initials of Director of Public Safety)Department/Dormitory InformationName __________________________________________Department ______________________________________School/Division __________________________________Account to be charged _____________________________Signature of requestor***___________________________***By signing, the signatory agrees to abideby the ECSU Key Control Policy.*Reason___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________BuildingRoom NumberAuthorization SignaturesApproved by Supervisor____________________________________________Approved by Department Head/Dean ________________________________Master Keys________________________________________________(Requires Approval of Vice Chancellor)Date_________________Date ________________Date ________________Grand Master Keys__________________________________________Date ________________(Requires Approval of <strong>University</strong> Chancellor)------------------------------------------------------------------------------------------------------------------------------------------------------------(To be completed by Facilities Management Department)Cost Assessed $_________________Work Order Number ________________Approved _____Denied _____Director for Facilities Management _____________________________________/_____________________________________(Printed Name)(Signature)

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!