KEY REQUEST FORM

Form Preparer's Information

Preparer's Name *

Preparer's Email: *

Requesting Department:

Preparer's Villanova Extension:

Requesting Administrator's Name:

Requesting Administrator's Villanova Extension:

Building: *

Floor: *

Door/Lock Location: *

Description of Key Functionality: *

(ie: Which door/s should it open?)

Quantity of Keys Desired: *

List by name(s) the recipient(s) of each key:

Comments or Additional Information Regarding Your Request:

Account Number: *