Murray State University
Department for Facilities Management
615 Gilbert Graves Dr.
Murray, KY 42071
Phone: (270) 809-4291
Fax: (270) 809-6270 		MSU
 
Key Request Form
Fill in form on screen, then print to obtain signatures.
 
PERSON REQUESTING KEY(S):
Name Date Phone
 
Department FOAPAL  
 
KEY(S) REQUESTED:
No. of Keys Building Room Number Key Identifier
Key

Special Instructions (Attach additional information, if necessary)
 
AUTHORIZATIONS: (signatures required)
 
_______________________________________________ ____________________
Dean/Director
Date
   
_______________________________________________ ____________________
Building Coordinator
Date
   
Do you authorize a person other than the applicant to pick up keys?

Yes No
FAX COMPLETED FORM(S) TO FACILITIES MANAGEMENT (809-6270)

Key(s) received by:

 

_______________________________________________    ____________________

              Signature [at time of key(s) received]                                       Date