Key Request Form (b)

Name *

First Name

Last Name

Type of access required *

Please tick the box to select all the relevant options below

Church Gate 1 (Cars)

Church Gate 2 (Pedestrians)

Church West Doors

Church Street Door

Church Master Key

Prayer Chapel Access (1)

Prayer Chapel Access (2)

Vestry Door (Key 1)

Vestry Door (Key 2)

Silver Safe

Money Safe

Hall Main Door

Downstairs Hall Office

Church Office Access Code

School Playground

Boiler House Padlock (1)

Boiler House Padlock (2)

Belfry

Key Issue Date *

Enter the date of your induction/access training. If that hasn't been scheduled then let the Vicar or Administrator know ASAP.

MM

DD

YYYY

Key Return/Access Review Date *

This should correspond with end of the Church's yearly Calendar or contract renewal date if employed.

MM

DD

YYYY