approval required · the phone number should be entered as xxx-xxx-xxxx. the "key# opt"...
TRANSCRIPT
UNIVERSITY OF COLORADO DENVER
FACILITIES MANAGEMENTMAIL STOP A005-117 1380 LAWRENCE ST. STE 1300 OR FAX SIGNED FORM TO:[email protected]
INSTRUCTIONS ** QTY. KEY# OPT1. DEPARTMENT HEAD APPROVAL REQUIRED BEFORE PROCESSING.
2. SEND REQUEST TO:
** ADDITIONAL INSTRUCTIONS:
ROOM
KEY REQUEST
BLDG
This form can be printed "as is" and filled in, or type in the information and print, or, if your Dept. Head approves, email as an attachment to your Dept. Head who will need to print the form as a written authorizing signature is required. The ID number is your employee ID number. It can be found on your PPP form, for example. The Phone number should be entered as XXX-XXX-XXXX. The "KEY# OPT" section is either the key # or, if unknown, it is filled in by the Lockshop with the room number(s) you provide in the "ROOM" section. If keys are requested for more than one campus, please submit separate requests for each campus. Speed Type is only used if the key isn't returned.
NEW ISSUE
REPLACEMENT
LAST NAME FIRST NAME M.I. I.D. NUMBER
SPEEDTYPE DATE
DEPT. AUTHORIZING AUTHORITY (please print) DEPT. CONTACT NAME
ANSCHUTZ MEDICAL CAMPUS
DOWNTOWN DENVER CAMPUSUCD FORM 92616 [Rev. 6/2016]
FACILITIES MANAGEMENT MAIL STOP F410-AMC, Bldg T36 RM 110 OR FAX SIGNED FORM TO: [email protected]
DEPT. AUTHORIZING AUTHORITY (signature)
DEPT. NAME (please print)
DEPT CONTACT PHONE