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Key Request Form

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Employee Information

Name

Key Issue Agreement

In return for the loan of this key, I agree:


  1. not to give or loan the key to others;
  2. not to make any attempts to copy, alter, duplicate, or reproduce the key;
  3. to use the key for authorized purposes only;
  4. to safeguard and store the key securely;
  5. to immediately report any lost or stolen keys;
  6. produce or surrender the key upon official request.
  7. I also agree that if the key is lost, stolen, or not surrendered when requested a charge that reflects the cost of changing any and all locks affected may be assessed.
Issue Type

Authorization

Name of Authorizer (Chair, Vice-President, Director)
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