Daily Crime & Fire Log
*Form to be completed by one of the following:
Faculty: Department Chair, Dean, or Office Manager
Staff: Direct Supervisor
Students: Residence Hall Director (RD)
Key(s) requested can be picked up and signed for at Campus Safety 24/7.
*By sending this request you are agreeing to the following:
- The Department is responsible to notify the person when leaving the College that their key(s) need to be returned to Campus Safety or to Human Resources during an exit interview.
- If keys are not returned the requesting Department will be charged according to key(s) value.
| Campus Safety| 178 E. 11th Street| Holland, MI
firstname.lastname@example.org | phone: 616.395.7770 | fax: 616.395.7768