Access Card/Key Request

The contents of this form will be sent to the appropriate campus departments for processing and recordkeeping. Please allow reasonable time for the processing of your request. Key requests require a minimum of 24 hours notice.

Questions should be directed to the Chaffey Police Department at extension 6633.

Please don't fill out this input box.

Date Request Submitted*

Requested By

All requests for access cards and keys must be made by the employee manager or designee.

Full Name*

Email Address*

Employee Information

First Name*

Middle Name or Initial

Last Name*

Job Title*

Department*

Chaffey College Phone Number*

Employee ID Number*

E-Mail Address*

Supervisor

Supervisor's Name*

Supervisor's Title*

Key(s) needed for this Location

Building*

Room Number*

Door Number

Additional notes and comments

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