Key Distribution Form

Key Distribution Form
Identification
Employee Name
First NameLast Name
Position/ Title
Employee ID
Reason for Key Distribution
Type of key
Office DoorMaster KeyOther
If other, please specify
Serial number on key
Access Location
Keyholder Duties
I confirm that I have received the specified key(s) and comprehend that I am accountable for its usage, management, and the privileges it grants for the stated purpose. In case of misplacing this authorization, I will promptly inform the Manager of Administration at the ADM Board. I also recognize that reproducing this authorization is not allowed. The authorization remains the possession of the ADM Board and will be surrendered upon request at the culmination of my dealings with the ADM Board.
Received by
First NameLast Name
Date
MonthDayYear
Date
Acknowledgment of Return
Employee Signature
Clear
Date Signed
MonthDayYear
Date
Manager of Administration
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

Identification