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Key Form

Section 3: Type of key, serial number and access location

Type of Key


Manager of Administration

Section 5: Received by

Keyholder Responsibilities

I acknowledge receipt of the key (s) listed above and understand that I am responsible for use, control and the access it provides for the reason stated above. I will immediately report the loss of this credential to the ADM Board’s Manager of Administration. I further acknowledge that duplication of credentials is prohibited. The credential is the property of the ADM Board and will be returned upon request when my business with the ADM Board is concluded.

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Manager of Administration