<p> PERELMAN SCHOOL OF MEDICINE AT THE UNIVERSITY OF This form is for PERIMETERS PENNSYLVANIA Only. SPACE PLANNING & OPERATIONS SECURITY DIVISION Revised 8/03 ACCESS KEY APPLICATION T</p><p>N Name: Last four digits of SS#: A C I</p><p>L Status: Existing Key holder New applicant P P</p><p>A (Employee U OF P): Department Name: </p><p>Y B</p><p>Faculty Staff D E</p><p>T Dept. Phone #: E L</p><p>P Lab/Office Phone #: M</p><p>O Student: C</p><p>E U OF P Medical Student Mail Box #: B</p><p>O</p><p>T Other (State school affiliation): Other (contractor, vendor, visitor, etc) Name & Organization: Phone #: Date: Signature: O</p><p>T This category includes all buildings listed below E</p><p>B 203 – SOM Perimeter Doors M</p><p>O Anatomy Chemistry Archway Johnson Lobby to Morgan</p><p>C Anatomy Chemistry West Entrance Johnson Elevator to Lobby T</p><p>E Anatomy-Chemistry South Entrance Johnson Elevator Lobby to Library</p><p>L st</p><p>P Blockley Hall – 1 Floor Main Entrance Johnson Library to Elevator Lobby</p><p>D Blockley Hall Ground Floor Entrance Richards Main Entrance E</p><p>Y BRB II/III North Entrance Richards Rear Entrance B</p><p>I BRB II/III South Entrance Stellar-Chance Main Entrance S BRB II/III 1st Floor Elevator Lobby Stellar-Chance Elevator Lobby – 1st Floor U nd nd B BRB II/III 2 Floor Elevator Lobby Stellar-Chance 2 Floor Lobby S</p><p>S CRB Main Entrance Stemmler Main Entrance </p><p>E CRB Rear Entrance Stemmler Stair tower - Ground Floor N I CRB Loading Dock to Elevator Lobby Stemmler Stair tower – Basement M</p><p>D John Morgan Main Entrance Stemmler Basement to HUP</p><p>A Stemmler Sub-basement T</p><p>S Stemmler Tower to Rhoades Pavilion I N T A R R O S</p><p>N Applicant’s Departmental Business Administrator: Phone #: O I T A Z I R</p><p>O Key Issued by: Issue Date: Key #: H T U A ) d</p><p> e Received by: Date: r i u q e r s e r u t a n g i s ( </p>