Transfer of Keys

Employee must have an existing "request for keys" form before you can transfer keys

From:          
Employee ________________________ Department _________________ Building ________________
To:          
Employee ________________________ Department _________________ Building ________________
Present Supervisor _____________________________________ Phone ____________________
New Supervisor _____________________________________ Phone ____________________
Key(s) Transferred/ number(s) or symbol(s) ______________________________________________________________
REPLACEMENT FEE
Key(s) issued to an employee will not require a deposit fee. However, any key(s) lost or stolen while in custody of an employee will require a $50.00
replacement fee per key assessed to the agency for which the employee works. Broken or damaged key(s) turned back in may be exchanged for new
ones upon approval application, without charge.

RETURN OF KEYS AT TERMINATION
At the time of termination, those employees having a record of a key charge-out will be required to return any key(s) charged out to them before final
clearance will be given. In cases where employees are unable to produce keys charged out to them, a joint evaluation by the employee's department
head and the locksmith will be made and a fee commensurate with the cost incurred by the state to replace the key(s) or change lock(s) will be
assessed.
EMPLOYEES AGREEMENT
  1. I will not loan out the key(s)
  2. I will not alter the key(s)
  3. I will use the key(s) for the intended purpose only
  4. Agency's fee for lost key = $50.00 for each key not returned.
  1. I will not have key(s) duplicated
  2. I will store key(s) safely
  3. I will immediately report lost or stolen key(s) to my authorized
    agency
I UNDERSTAND AND AGREE TO THE ABOVE STATEMENTS

Authorized Agency Signature _____________________________________ Date: _______________

Employee Signature ____________________________________________ Date: _________________