UCLA CEE Key Request Form

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Use this form to request a key to UCLA CEE Department space. You must have authorization from a Department Faculty Member or PI before submitting a key request.

*** You must fill out and submit this form for each key you are requesting. ***

Email *

Last Name *

First Name *

UCLA ID *

Permanent Address Street and Number *

Permanent Address City *

Permanent Address State/Province *

Permanent Address Country *

Permanent Address Postal Code/Zip Code *

Key User Type *

Building and Room Number for Key Requested (please only put ONE room number in this field) *

Faculty or PI authorizing key *

Key User Agreement/Responsibilities

By submitting this key request, I understand and agree to the following:

- I acknowledge responsibility for the key.
- Once I receive the key, I will send an email to ceehelp@seas.ucla.edu confirming my receipt of the key.
- I understand and agree that if I lose the key, or do not return the key when requested, I will pay a $50 penalty to the department.
- I am responsible for keeping the room associated with the key secure, which includes locking the door, each time I leave.
- I will report any problems, malfunctions, vandalism and/or unauthorized use to the key manager at ceehelp@seas.ucla.edu.
- The key will be used for University business only.
- I will not duplicate the key nor will I loan it to anyone else.

A copy of your responses will be emailed to the address you provided.

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