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Door Access Request Form

* Denotes required field.

*First Name:
*Last Name:
*VSU ID#:
*Department:
*Job Title:
*VSU Email Address:

*Door access or key box location (Example: Building, Room#, Access Days & Times):

*Expiration:

*Reason for Request (Example: Housekeeping, Maintenance, Contractor or Vendor Purposes, etc.):

*State Individual's Status:
*Dean or Department Head Email Address:

Note: ALL requests for door access will require authorization from the Dean, Director or Department Head in which the door is located. Please ensure you forward your request to the correct authority to avoid delay in processing.

Please note that when requesting card access to a key box, you will need to indicate which key you are requesting. (IE: Biology Department Master Key). Also note that whichever department approves the key box request, will also be the responsible party if a key should be lost. (IE: Art department approves a key for a grad assistant. If the student loses the key, the Art Department will be held liable for all costs (cores/keys) depending on how many doors that particular key would open)