HomeMy WebLinkAboutOCDSB 047 Access Card Agreement Jun 2010
SECURITY ACCESS CARD AGREEMENT
OTTAWA-CARLETON DISTRICT SCHOOL BOARD
ADMINISTRATION BUILDING - 133 GREENBANK ROAD
(R:PR.679.FAC)
EFERENCE
PARTA(’/)–
TO BE COMPLETED BY THE EMPLOYEE AND THE EMPLOYEES MANAGER SUPERVISOR
ACA
CCESS ARD PPLICATION
Employee Name: EIN #:
Department: Position:
Telephone: E-mail:
Manager/
Supervisor Name: Position:
Access Level:
Access Card Issue Agreement:
In return for the “After Hours” access and provision of this access card, I agree:
1) to review and follow the requirements, directives and processes outlined in Procedure PR.679.FAC –
Security Card Access – OCDSB Administration Building – 133 Greenbank Road;
2) not to give or loan the key to others;
3) not to make any attempts to copy, alter, duplicate, or reproduce the key;
4) to use the key for authorized purposes only;
5) to safeguard and store the key securely;
6) to immediately report any lost or stolen keys;
7) to produce or surrender the key upon official request.
A replacement fee will be charged to the employee for lost, stolen or damaged access cards.
Employee’s Signature: Date:
Manager’s Signature: Date:
PARTB()–
TO BE COMPLETED BY THE CHIEF CUSTODIAN OR SECURITY AND SYSTEMS COORDINATOR
ACI
CCESS ARD SSUE
Lanyard Provided: Yes No
Access Granted and
Card Number Issued:
Assigned By: (Name) Signature:
Date of Issue:
PARTC()-
TO BE COMPLETED BY CHIEF CUSTODIAN OR SECURITY AND SYSTEMS COORDINATOR
ACR
CCESS ARD ETURN
Return Date: Returned by:
Reason for Return:
Access Card Not Returned: Lost Stolen Broken Other
Explain Circumstances
Signature of Employee:
Signature of Manager /
Supervisor or Facilities
Designate
OCDSB 047 Facilities (June 2010) Page 1 of 1