Key Request - Public Safety

"*" indicates required fields

Request type*

Key(s) for myself

Key(s) for someone else

Your name*

Email*

Enter Email Confirm Email

Key recipient name*

Email*

Title*

Extension*

Division/department*

Dean/Supervisor*

Key request details

To replace a key that is bent or broken, bring key to Public Safety and request a replacement. This form is not needed for replacement of a damaged key. Select Replacement below only if you need to replace lost or misplaced keys. If you believe your keys have been stolen, Public Safety must take a Larceny Report from you.

Room #, building and/or area

Classroom, office or other

# of keys requested

New/Replacement

ID & Serial #

Notes or reason for request*

My keys were lost or misplaced*

Yes

Time/date/place they were last seen*

By submitting this form I am declaring that I have lost the above keys marked “Replacement” and will return them if they are found