PortofSeattleSeattleTacomaInternational Airport

Credential Center

KEYWORKREQUESTFORM

Incompleteapplicationswillnotbeprocessed

PLEASEPRINTININK

PortofSeattleIDrequiredtopickupkeys

Requestor Signature:Date:

TOBECOMPLETEDBYAUTHORIZEDSIGNER
JUSTIFICATIONFOR KEY(S)REQUESTED.PLEASE BESPECIFIC:
PROJECTNAME:
AuthorizedBy(PleasePrint) / Authorized SignatureApproval(Signaturemustbeonfile withCredentialCenter) / PhoneNumber / Date
POSCo-signature(ifapplicable,i.e., Contractor,Consultant) / Printed NameofCo-Signer / PhoneNumber / Date
PORTOF SEATTLEUSEONLY
KeyProcessAuthorized By: / DeniedBy: / DateofAuthorization:
KeyType / Key# / KeyType / Key# / Printed NameofIndividualPickingUp Keys / Signature / Date
KeyReleased By
CredentialCenterEmployee: / DATE RECEIVED: / DATENOTIFED:
AVIATION MAINTENANCEUSE ONLY
ReceivedBy: / Date / CostCenter/AccountNumber / POSExpense/Tenant Expense
CraftNumber / TotalKeys / EstimatedHours / MaterialCosts / TotalCosts / DateCompleted / InsertIntellikeyinLock By:

Keysthatrequireadditional approval andcorrespondingsigner

KeyType / List ofApprovedSigners / ContactDepartment
3-19: OE Padlock –Not used much / StuartMathews,ErikKnowles,Ryan Pazaruski, Dan Hytry / AviationMaintenance
3-11,4-11: ET | Electrical Rooms and Cabinets / GaryRicher,Darin Benofsky / AviationMaintenance
4-1: Vacant Space Lockout Key / JamesJennings,JessQunell / AviationBusinessDevelopment
4-25: OE Padlock / StuartMathews,ErikKnowles,RyanPazaruski, Dan Hytry / AviationMaintenance
4-27: OE Mechanical Rooms / StuartMathews,ErikKnowles,RyanPazaruski, Dan Hytry / AviationMaintenance
4-59: Comm Room/Cabinets / ClarenceJaquez,GaryRicher / InformationTechnologyandAviationMaintenance
4-90: OE Padlock / StuartMathews,ErikKnowles,Ryan Pazaruski, Dan Hytry / AviationMaintenance
AP-2: AVM Padlocks and Gates / StuartMathews,GaryRicher,LuisaBangs, Erik Knowles / AviationMaintenance
AP-4: Contractor Construction Key for Temporary Doors and Padlocks / AnyMaintenanceorEngineeringAuthorizedSigner / EngineeringorAviationMaintenance
H-2: Mechanical Rooms / StuartMathews,ErikKnowles, Ryan Pazaruski, Dan Hytry / AviationMaintenance
H-20: Electrical Room. Operated by H5 / GaryRicher,Darin Benofsky / AviationMaintenance
H-22: High Voltage Rooms / GaryRicher,Darin Benofsky / AviationMaintenance
H-3: Elevator Mechanical Room / StuartMathews,RyanPazaruski,ErikKnowles, Dan Hytry / AviationMaintenance
H-4: ABM Janitor Closet Key / MicheleFideler / AirportOfficeBuilding—Facilities
H-5: Electrical Room Key / GaryRicher,Darin Benofsky / AviationMaintenance
H-9: Comm/Cibbs Rooms / GaryRicher,WendellUmetsu,BabuParayil,MattBreed,ClarenceJacquez / AviationMaintenance
R: AVM Master Key. Added to 80% of the doors at STIA / Stuart Mathews GaryRicher,LuisaBangs,ChristianSamlaska, Erik Knowles / AviationMaintenance,AviationSecurity
NonSecurityINTELLIKEY* / MaintenanceManagers/SponsorDept–bylocation
Tenant/VendorKeys / ShouldbesignedbyappropriateContractAdministrator

PLEASENOTE:Onlyonekeytypeperperson isallowedforthekeyslistedabove

*Onlyoneapproverlistedneedstosign KeyRequest,exceptfortelecomrooms—requirestwoapprovalsonefromICTandonefromAviationMaintenance

*AviationMaintenancesignaturerequiredforallMechanicalRooms*IncompleteKeyRequestswithouttheproperapprovalwillNOTbeprocessed