KEY/FOB REQUEST FORM

KEY/FOB REQUEST FORM

Please be informed:

This form is to be used for both campus building access, and for individual door schedule requests. The form must be submitted before any access or openings will be completed. All requests will be acknowledged by a reply email, so please fill in every field and verify your contact information.

The key holder’s Hartnell ID number is required for issuance of a key. If the individual does not have a Hartnell ID, a key will not be issued. Any and all exceptions must be approved by Vice President of Administrative Services in advance. A Supervising Department Employee must take responsibility for key issued to non-Hartnell personnel (i.e. Volunteers, Contractors, Student Assistants, etc.). The information of the Hartnell employee taking responsibility for the non-Hartnell Personnel is required.

If you need further assistance in completing the form, please contact the Mail Room at (831) 755-6703 or Campus Security at (831) 755-6888.

Please be aware: all key requests will require a 3 business day notice, unless it is an emergency.

Requestor's Name*

Requestor's Email*

Requestor's Phone Number*

Phone

Section 1: Key Holder's Identification and Contact Information

First Name*

Last Name*

Middle Initial

Employee Status*

Select

Hartnell ID Number*

Email Address*

(username@hartnell.edu)

Work Phone

Phone

Divison*

Select

Academic Affairs*

Select

Student Affairs*

Select

Administrative Services*

Select

Information Technology Resources*

Select

Office of Institutional Advancement*

Select

Human Resources and E.E.O*

Select

Office of the Superintendent/President

Select

Start Date*

End Date

Only necessary if the key holder is not a permanent employee

Manager's Name*

Manager's Email*

Key Holder's Role*

Select

Other Role

Please specify your role at Hartnell.

Section 2: Request type

Request Type*

Select

*If your key is lost or stolen, please contact Campus Security at (831) 755-6888. Please provide your name, phone number, your ID number, and the date and time when you noticed that your card was missing.

There is a replacement fee for lost or stolen keys.

Section 3: Building Access

Campus*

Select all that apply

Select

MC-Buildings*

Select all that apply

Select

AC-Buildings*

Select all that apply

Select

KC-Buildings*

Select all that apply

Select

Offices / Rooms*

Select

Specific Doors

Access Day(s)*

Select all that apply

Select

Access Time*

Custom Time Schedule*

Please describe what time schedule is needed

Additional Comments/Request

Key holders must understand:

Key holders assume the responsibility for the key fob issued to them.
Keys are not to be duplicated, shared, or passed to one another.
Any missing or stolen keys must be reported to campus security immediately.
In the event of missing or stolen keys, the Maintenance Staff is not authorized to open or unlock private offices or buildings on your behalf. Please contact Campus Security to report your missing keys, and for immediate access assistance.
Do not prop building or room entry doors open at any time, and ensure the door is locked after exiting the room.
Keys no longer needed are to be returned to the business office promptly.
Keys are district property. The district has the right to withhold payroll warrants until the above obligations are satisfied.

By submitting your request, you are confirming that you fully understand and agree to the terms and conditions that have been presented to you regarding key issuance.

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