USC - Internal Card Access/Key Authorization

Manager to complete to authorize approval of key request and/or Card Access

Department/Operation
Authorizing Senior Manager
Type of Authorization Request

Type of Authorization Request Card Access Authorization Key Authorization Card & Key Authorization
Checkboxes

Checkboxes USC Full-Time Staff Member USC Part-Time Staff Member USC Executive/Association/Coordinator/Intern Temporary Event Access/Guest Other Other
Name of Person To Approve Name of Person To Approve First Last
Staff Member's Title (iff applicable)
Person's Email
WesternOne Card Number (9 digiit student number of staff number without the first 0)
Must be between 7 and 9 digits. Currently Entered: 0 digits.
Upload a File -
if you have more than one person to authorize for Card Access. Please include first and last name, title, email, and staff/student number. Please also indicate the period they are to be authorized for as set out below:

Attach Files
List of Rooms to be authroized for keys (please use Room Name And Not Key Code)
List of Rooms or Type of Access to be authorized for Card Access.
Time Period for Authorization

Time Period for Authorization Permenant User (Full Time USC or Western Staff Only) Academic Year (Between September 1 - Apirl 30) Summer (Between May 1 - August 31) Specified Time Period (Event/Guest Access)
Specified Time Period Start Date Specified Time Period Start Date / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
Specified Time Period End Date: Specified Time Period End Date: / MM / DD YYYY
End Time End Time : HH MM AM/PM
Notes to Approver