Key Destruction Log Form
Please complete this form to document the destruction of keys. Ensure all information is accurate and complete.
Date and Time of Destruction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Person Responsible for Destruction
*
First Name
Last Name
Key Identification Number or Description
*
Reason for Destruction
*
Please Select
Lost Key Replacement
Damaged Key
Security Upgrade
Routine Disposal
Other
Destruction Method
*
Please Select
Mechanical Shredding
Melting
Cutting
Chemical Dissolution
Other
Destruction Location
*
Witnesses Present (if any)
Additional Remarks
Submit Log
Should be Empty: