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CALIFORNIA STATE UNIVERSITY, EAST BAY
KEY / ACCESS REQUEST FORM
Section 1: Identification - Enter information of the individual receiving key(s) / access









Section 2: Requestor Information





Section 3: Request Type - Enter the type of request 
Section 4: Building Access List Buildings and Rooms access is requested for.
Justification of business needs is also required 










ACCESS CARD ONLY (DO not fill in if requesting physical keys)
Check all that apply:
24 Hour Format (05:11).

24 Hour format (01:55).


Section 5: Replacement / Missing Key(s) / BayCard: Complete this section for all replacement/Missing(s) / BayCard(s)
For lost key: Notify University Police Department and Locksmith Immediately (Lost key requires a University Police report)





Section 6: Students Only - Complete this section for student key / access credential requests
If key is not returned, sponsoring department will be charged $200.00 minimum
Section 7: Required Approvals 
Name of Department Dean / Chair / Manager
Email of Department Dean / Chair / Manager
Name and Email of Department Dean / Chair / Manager (required)


Name of Director, Facilities Operations (required for Grand Master Keys and Building Master Key ONLY)