Keys and FOBs

Lost or stolen electronic access FOB/Key action form.

Today's Date: - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY
Time: * Required

: HH

MM
Requestor's Information
Name: * Required
First Last
Email: * Required
Class Year: * Required
Banner ID#: * Required
PO Box: * Required
Building Residence: * Required
Room Number: * Required
FOB Information
My electronic access fob was (select one): * Required
If "stolen", please record offense report # here: * Required
This electronic access fob has been marked:
- Noticed
- Disabled
Dispatcher's Last Name: * Required
New FOB Code: Temp -: * Required
New Temp FOB RFID#: * Required
Key Information
My key was (select one): * Required
If "stolen", please record offense report # here:
Which key is lost/stolen? (select all that apply): * Required
If "other", please explain:
Comments:
Requestor's Consent: * Required
I agree to the following fee policy.

There is a $25 fee for a room lock change and a $25 fee for replacement of Electronic Access FOBs.

The Facilities Operations Department will bill you automatically.
Form Distribution
- Select All
- Access Control
- Public Safety
- Requestor

Requestor's Information