May 26, 2009 ... The key(s) is the property of Ottawa Area Intermediate School District ... (Asst.
Supt. for Business Services approval required for all ESB keys).
Ottawa Area Intermediate School District Key Receipt and Agreement Form Requestor:
Key(s) Requested (be specific):
Date:
Building: Building: Building:
Reason:
I accept the above key(s) with the following understanding: §
§ §
The key(s) is the property of Ottawa Area Intermediate School District and is on loan to me. Use of this/these key(s) is a privilege granted to me for the intended purpose of my personal use in the performance of my assigned job duties. By accepting the identified key(s), I hereby agree to take diligent care of this property and promptly report any loss thereof. I further agree to not give possession of said key(s) to any other person nor cause or allow any copies to be made of such key(s). I further agree to return to the issuing office upon demand or when my need for said key(s) no longer exists. I understand that any violation of this agreement may result in disciplinary action. It is my full responsibility to return this property to the issuing office in the event that I leave Ottawa Area Intermediate School District employment.
Requestor Signature:
Date:
Supervisor Approval:
Date:
Building Administrator Approval:
Date:
Required for All OAISD Building Master or Building Entrance Requests (Asst. Supt. for Business Services approval required for all ESB keys)
Department Asst. Superintendent:
Date:
Asst. Supt. for Business Services:
Date:
OAISD/Business Services/A. McCoy/May 04
Ottawa Area Intermediate School District Key Receipt and Agreement Form Page Two Please document the issuance and return of keys below. This page is also intended for use in situations where keys are returned for a period of time with the intention of being reissued (i.e. summer months when school is not in session, extended staff leave, etc.). Please note that if keys vary from those listed on page one, a new form must be completed.
