Access Control Appointment Form – Facilities and Planning

Please complete all fields below to request an appointment with the Access Control Shop. Authorization forms for proximity cards and keys must be completed before a request for either can be filled. Appointments can be made Tuesday, Wednesday and Thursday 1:00pm - 4:00pm. Thank you!

Name*
First Last
EWU ID #*
Phone*
EWU Email*
Faculty/Staff, Student Employee, Student or Other?*
Appointment/Request is for Key(s) and/or Proximity Card?*
* Please make sure authorization form(s) are completed ahead of your appointment. * Please note one authorization form is required per key issued. * Student Proximity cards are obtained through the EagleCard Services Office
Has your Authorizing Official completed the necessary key and/or prox. authorization form(s)?*
*Incomplete authorization forms are unable to be processed
Has your Authorizing Official submitted the necessary key and/or prox. authorization form(s)?*
* Please make sure your authorization form(s) are completed ahead of your appointment.
If you have access to the form(s) completed by your Authorizing Official, please submit them here
Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 6 MB, Max. files: 10.
Preferred Appointment Date*
Please Select Your Date Preference: Appointments can be made Tuesday, Wednesday and Thursday 1:00pm - 4:00pm. ***Please allow a minimum of 48hrs for processing between submitting your form(s) and the requested appointment date and time. *Example: If your authorization forms are submitted Monday morning then, they should be ready for pick up on Wednesday morning.
MM slash DD slash YYYY
Preferred Time for Date of Appointment*
Please Select the Time for Your Date Preference: Appointments can be made Tuesday, Wednesday and Thursday 1:00pm - 4:00pm. ***Please allow a minimum of 48hrs for processing between submitting your form(s) and the requested appointment date and time. *Example: If your authorization forms are submitted Monday morning then, they should be ready for pick up on Wednesday morning.

: Hours

Minutes

AM/PM
Please briefly describe the purpose of your appointment:*