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Keyholder details

If this is not a cancellation request, please indicate whether this request is for new or replacement keys, access cards, or fobs.
Must be approved by supervisor/key custodian only.

Primary key details

In total, how many individual keys are being requested/cancelled?

Required key information

Please enter the required information for each requested/cancelled key. Be sure to include the quantity, key series and room number for each key. Enter the key series for standard/metal keys (if known). The key series for electronic access requests is PROX.

Key custodian information

Confirmation will be sent to this address.

Please ensure that you are not submitting confidential or sensitive information.