Key Request Form

NOTE: a $5 deposit will be collected for each key requested. If you are requesting a key for a Polymer room or lab, please contact them directly.

Name*

First Last

Email*

Personnel type*

Keys Requested*

Please specify the room(s) for which you will need a key.

Building (SCI/PRB)	Room Number

Authorization

Please enter contact information for the person granting you access to the room(s) you have requested.

Supervisor Name*

Supervisor Email*