Information
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Document No.
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Key Holder details are to be completed by the key authoriser this should generally be a member of the state functions management team or in the case of key returns it may be the key custodian
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CCA Function
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Key Holders Name
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Position
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Company
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Contact Phone No
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Email
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State
- NSW
- VIC/TAS
- WA
- SA/NT
- QLD
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Route No
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Driver No
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Existing CCA Key Ring ID No
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Details of Existing Keys (List the current keys held, key type, description and serial No)
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Reason for Key Return
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Date Keys are to be returned
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Will someone else be performing the key holders duties or functions during the key holders absence
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Expected date the keys are to be reissued
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The key custodian will be able to issue the keys to the new key holder temporarily in accordance with the key request procedures
Key Authoriser and Approval
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Key Authorisers Name
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Key Authorisers Position
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Key Authorisers Contact Phone No
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Key Authorisers Email
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Key Approval (Key Authorisers Signature)
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Approval Date
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Once approved the Key Authoriser is to complete the details of there local state key custodian below and email the new key request form to them for processing
Key Custodian Details
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The key custodian must ensure that keys are not issued, lent or given to any person who has not submitted a acknowledgement to have read and understood and accepted the policy and responsibilities associated with holding vending keys. Dose not have the required paperwork and authorisation
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Key Custodians Name
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Key Custodians Email
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Key Custodians Contact Phone No
Key Custodian Key Return Details
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Details of Keys being returned (lList key Types / Serial No)
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CCA Key Ring ID No
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Date Keys Returned
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Key custodian is to capture the details of the key safe where the keys will be stored until re issue
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Keys Safe Storage Details
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Key Custodians Signature
Key Holder Return Acknowledgement
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I confirm that the key transactions listed are true and accurate.
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Key Holders Signature
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Date Key Holder Signed Keys Return Acknowledgement
Key Register Database Updates
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The key custodian is responsible for ensuring that the state key register is updated with details to show keys moved into the key safe and full details of keys returned and if the keys are to be held as a set for the key holders return
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Date State Key Register Updated
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The key custodian needs to ensure the completed forms are scanned and added to the key holders contractor records ie Sharepoint key administration database
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Date Sharepoint Database Records Updated
