The University of Utah
Department of Physics & Astronomy at the University of Utah
Department Key Request Form
  1. IDENTIFICATION

  2. UnID#(*)
    Invalid Input. Please enter as "00123456" or "u0123456"
  3. First Name(*)
    Invalid Input
  4. Last Name(*)
    Invalid Input
  5. Position(*)




    Invalid Input
  6. Email(*)
    Invalid Input

  7. KEY REQUESTED

  8. Building #(*)
    Invalid Input
  9. Room #(*)
    Invalid Input
  10. Key #
    Invalid Input
  11. Is key lost?
    Invalid Input

  12. AUTHORIZATION

  13. Who is in charge of the rooms listed above?
    This request will be forwarded for approval before any keys are ordered.
  14. Room Type(*)




    Invalid Input
  15. Authorization Email(*)
    Invalid Input. Put "hsimpson@physics.utah.edu" if unsure.
  16. TERMS
    I acknowledge that I, the key requester, have read, reviewed, and understood ALL the conditions of key responsibility outlined in the University of Utah Key Policy 3-234, including the following:
    • I am responsible for this key.
    • I will NOT lend, transfer, or swap this key with anyone else, ever.
    • I will return this exact same key to the main office (201 JFB) when my need or employment terminates.
    • If my key number doesn't match the number in the department records, it is up to me to track down and return my original key.
    • I understand any violations of any of the above will lead to forfeiture of my deposit, and/or my suspension or termination from the University of Utah.

    I have read, understood and acknowledge the conditions of key responsibility as outlined above. I agree to accept and abide by these terms & conditions.
  17. (*)
    Invalid Input

  18. Special Instructions or Additional Information
  19. Invalid Input
  20. PLEASE READ CAREFULLY & FOLLOW INSTRUCTIONS:
    Please bring $10 cash deposit per key when you pick up your key(s). If you are replacing keys that were lost, the deposit is $20 per key. We do not have change for large bills so please bring the exact amount (no checks, credit cards, coins or foreign currency accepted for key deposits). Your key(s) will be kept for 30 days and if not picked up will be returned to the key shop.

    • Keys will be ordered 1‐2 days following approval.
    • Key shop delivery is 2 weeks after receipt of the order.
    • You will receive an email when the keys are available.
    • Pick up keys at the front desk (201 JFB).

    When you return your key(s) - your deposit will be returned to you.

  21. Prove you're not a robot
    <b>Prove you're not a robot</b>
    Invalid Input
  22.   
  • Dept of Physics & Astronomy • 201 James Fletcher Bldg. 115 S. 1400 E., Salt Lake City, UT 84112-0830
  • PHONE 801-581-6901
  • Fax 801-581-4801
  • ©2018 The University of Utah