You must have JavaScript enabled to use this form. Employee’s Name Employee ID No. Division/Department Office Phone Home Phone Please issue above employee card access DURING/BEYOND NORMAL COLLEGE HOURS to the following: 01 200 King Street E 02 341 King Street E 03 193 King Street E 04 230 Richmond Street 05 300 Adelaide Street E 06 290 Adelaide Street E 07 Ryerson - 99 Gerrard Street E 08 Yonge Centre - 55 Mill Street 09 70 Yorkville Avenue 10 51 Dockside (Waterfront) 11 160 Kendal Avenue 12 500 McPherson Avenue Specific Information (Room numbers, as applicable), etc: OTHER CAMPUS BUILDINGS (Check Campus Location): Specify Building Location: Specific Room Numbers, as applicable, etc.: DAYS & HOURS OF ACCESS: College Hours 6:00 a.m. – 10:30 p.m. – 7 Days Unlimited – 24 hours/ 7 days Limited Access Enter the limited access information here... Issuance of Access Card I understand and agree that the access card issued upon approval of this request is the property of the College and I further acknowledge responsibility and accountability for the card. I will report loss or theft of the card to the Access Control Specialist – Public Safety & Security immediately and to my department head. I also understand that the access card is issued for my exclusive use and may not be duplicated, loaned or used to allow any unauthorized person into a controlled area. I further understand and agree that my full cooperation will be expected during any investigation concerning a security matter that might have occurred in a controlled facility during a time when my presence in the facility has been recorded by the system. I further agree to remain knowledgeable of and abide by the College’s Access Control policy while in possession of the card, and I understand that any violations of this policy may result in revocation of access card use and/or disciplinary action. Employee’s Name Issue Date Approved: Division/Department Head Approval Date (1) Department Access Key Controller (DAKC) Approval Date (2) Public Safety & Security Manager Approval Date (3) Access Control Specialist Approval Date (4) Replacement Card Issued Employee’s Name Replacement Card Issue Date Leave this field blank
