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Access Control Form

Note: Only authorized departmental key contacts should use this form to submit requests. Please call 593-1758 if you have questions.

Step 1: Requester Information (authorized key contact)
(Please enter your OHIO Email ID first to retrieve your contact information from OHIO eDirectory.)
Step 2: Please select a transaction and explanation

Key Information

Order
Facilities Key Information
Describe the key/s you are requesting, returning, transferring or reporting lost.
Keyholder Information (For the currently registered or new keyholder)
Old Keyholder Information (If key/s are transferred from a person)
Please Provide a complete description of the circumstances in which the key/s were stolen or lost. (Who, What, Where and When)
CAPTCHA
Please check the box below if you are not a robot.
Indicates required field

Note: Only authorized departmental key contacts should use this form to submit requests. Please call 593-1758 if you have questions.

Step 1: Requester Information (authorized key contact)

Step 2: Please select a transaction and explanation

Key Information

Re-order No. of Keys Building Room Number Key Code (if applicable) Weight Operations
more items

Keyholder Information

(For the currently registered or new keyholder)

Old Keyholder Information

(If key/s are transferred from a person)

Please Provide a complete description of the circumstances in which the key/s were stolen or lost. (Who, What, Where and When)

CAPTCHA
Please check the box below if you are not a robot.

* A copy of this form will be emailed to the sender's email address.