Lost Key Fob Disclosure Document

Date of Disclosure:
Resident Name:
Unit/Apartment Number:
Description of Lost Key Fob (if applicable):

Incident Details

Disclosure and Agreement

I acknowledge that I have reported the loss of the key fob assigned to me for access to the property. I understand that I may be financially responsible for the replacement of the key fob and that management may take additional security measures as required.
Resident Signature
Date
Management Signature
Date