ࡱ> %` {bjbj 4|̟̟w////d/ R=~122223R55h<<<<<<<$>8<E;633;6;6<22 =m8m8m8;6.22<m8;6<m8m8m821 ~/i6Fm88"=0R=m8A6Am8m8,A8T;6;6m8;6;6;6;6;6<<c8 ;6;6;6R=;6;6;6;6DTDT Ohio University Department Key Request & Agreement User Name: FORMTEXT      P.I.D. FORMTEXT      local Address:   FORMTEXT       Phone  FORMTEXT       FORMTEXT      Email FORMTEXT       Permanent Address:   FORMTEXT       Phone  FORMTEXT       FORMTEXT       Room/Building RequestedDates of UsageAssociated Class / Project/Work AssignmentOffice Use Only:fromtoKey / Stamp  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       USER ACKNOWLEDGMENT: Initial ( Responsible for the security of the room and its contents while the room is open due to the exercise of the user key(s).____________( Responsible for controlling the use of the key(s). It is against State Law (ORC 3345.13) to duplicate University key(s). Key(s) are not to be loaned or given to others.____________( Responsible for securing and returning the room to its original condition after its use.____________ Failure to return key(s) by due date, loss of key(s), or irresponsible use of key(s), may result in loss of key privileges or fines covering the actual costs incurred by the Department to re-key, change locks or repair damage to equipment or rooms. Issued key(s) are subject to recall at any time. A $20.00 charge per key will be assessed to the students Bursar eAccount for loss or failure to return the key(s) when due. See below for further policies. __________________________________________________________ _____________________ User Signature Date  Shaded area office use only Faculty/Dept Approval:Deans Office:  Account Number: General Key Use / Issuance Policy Once issued a key(s), you are responsible for security of the room and its contents while the room is open due to the exercise of the issued key(s). You are charged to return the room back to its original condition after its use, and responsible to make sure it is locked when you leave. It is against State Law (ORC 3345.13) to duplicate University key(s). You are not permitted to loan your key(s) to others. You are solely responsible in returning your key(s) at the specified due date. Graduate Students: ( Graduate Students are issued keys to provide access to rooms or buildings required for their academic work and to allow them to perform their assigned duties as Teaching, Graduate and/or Research Assistants. ( Keys will normally be issued for the full Academic year (Fall, Winter, and Spring quarter). Exceptions would include cases where the student would complete University work and leave before the end of the Academic year. Other cases would be temporary key use to complete a specific project. ( Graduate students are not required to pay a deposit. However, they may be disciplined for loss, misuse, or failure to check-in their keys when they are due or before they depart the University. Discipline may include loss of key privileges and fines to repair damage, replace and re-key locks. A $20 charge per key will be assessed to the students Bursar eAccount for loss or failure to return the key(s) when due. ( Graduate students may request keys by use of this form. Faculty signature and Department Authorization is required Undergraduate Students: ( Undergraduate Students are normally only eligible for keys to the instrument locker room and practice rooms. There are circumstances delineated by separate practice policies which allow Undergraduates access to buildings, classrooms and other spaces necessary for their academic work or to perform their assigned work duties. 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Exceptions would include cases where the student would complete University work and leave before the end of the Academic year. Other cases would be temporary key use to complete a specific project. For class associated issued key(s), they are due by the last Friday of the quarter issued. ( Undergraduate students are not required to pay a deposit. However, they may be disciplined for loss, misuse, or failure to check-in their keys when they are due or before they depart the University. Discipline may include loss of key privileges and fines to repair damage, replace and re-key locks. A $20 charge per key will be assessed to the students Bursar eAccount for loss or failure to return the key(s) when due. ( Undergraduate students may request keys by use of this form. 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