Hotel Guest Lost Safe Deposit Box Key Declaration Form

Guest Information

Guest Name

Room Number

Date

Contact Number

Email Address

Lost Key Details

Safe Deposit Box Number Date of Loss Time of Loss Details/Circumstances of Loss

Declaration

I hereby declare that I have lost the safe deposit box key assigned to me and understand that charges may apply for replacement. The above information is true and accurate to the best of my knowledge.

Guest Signature

Date

For Hotel Use Only

Received By (Staff Name) Date Received Remarks