Key Duplication Request Form

Key Duplication Request Form

Recitals

WHEREAS Requester Name: is the person or entity requesting duplication of keys for access to the premises identified below; and

WHEREAS Service Provider Name: is engaged in the business of key cutting and agrees to provide duplication services under the terms set forth herein;

NOW, THEREFORE, in consideration of the mutual promises and covenants contained in this Form and any attached Work Order, Requester and Service Provider agree as follows:

Requester & Contact Information

Key Details

Provide a separate line for each distinct key to be duplicated. Include key type, manufacturer code or serial (if available), and number of copies.

Scope of Work

Service Provider shall duplicate the keys listed above using appropriate blanks and cutting techniques, test each duplicate for operation, and deliver or make available the completed copies to Requester by the agreed required date. Service Provider will not alter or re-key existing locks without separate written authorization.

Payment Terms

Fee Amount: $   Fee Basis: per key flat fee

Late Fee:   Deposit Required: Yes   Deposit Amount: $

Term and Termination

Term Commencement Date:   Term End Date (if any):

Either party may terminate this request or work order for convenience upon written notice delivered at least prior to the desired termination date. Termination shall not relieve Requester of obligations to pay for work performed through the termination date.

Confidentiality

Service Provider shall maintain as confidential all security information learned in the course of this engagement, including but not limited to master key systems, key codes, lock specifications, and any nonpublic access procedures. Service Provider shall not disclose such information to any third party except as required by law or with prior written consent of Requester.

Requester represents and warrants that any information or key codes provided to Service Provider are provided with lawful authority and that Requester will indemnify and hold Service Provider harmless from any claim arising from unauthorized duplication.

Authorization & Representations

Proof of authority is required. Requester certifies (select one): I am the legal owner of the property/key I am an authorized agent with written permission

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

Entire Agreement

This Form, together with any attached Work Order and any written modifications signed by both parties, constitutes the entire agreement between Requester and Service Provider with respect to the subject matter hereof and supersedes all prior oral or written agreements and understandings.

Acknowledgment and Certification

By signing below, Requester certifies that the information provided is true and that Requester is authorized to request duplication of the identified keys. Requester agrees to indemnify Service Provider for any losses, claims, or damages resulting from unauthorized requests. Service Provider warrants reasonable workmanship for duplicated keys but is not responsible for pre-existing lock defects or for restricted key systems requiring manufacturer authorization unless expressly arranged in writing.

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