KEY ISSUANCE LOG FORM

Form Instructions

1. Enter the first facility name
2. This is a table consisting of eight (8) columns and 35 rows. The following information is to be entered in each cell:
   • Column 1 - Facility Name: Enter the name of the facility to which keys are being issued
   • Column 2 - Room - Enter the Room Number
   • Column 3 - Key Code - Enter the Key Code
   • Column 4 - Serial # - Enter the serial number
   • Column 5 - Issued Date - Select the date the key is issued
   • Column 6 - Issued Initials - The individual receiving the keys must enter their initials
   • Column 7 - Returned Date - To be completed when the keys are returned: Select the date they keys are returned
   • Column 8 - Returned Initials - To be completed when the keys are returned. The individual returning the keys must provide their initials