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Annex Omnilock Request Form

Page One

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7. How often during this time frame will you need access to the CETL Annex? *This question is required.
8. Which day(s) will you be using the Annex?
Do you agree to the following terms:

1. Be financially responsible, pursuant to Section 8643, of the State Administrative Manual (SAM), which says in part, "Lost, stolen, or destroyed property will be charged against responsible individuals whenever the agency determines that negligence or unauthorized use is involved."

2. Be personally responsible for the room, equipment, and furniture while in your care at all times.

3. Use the room for official State business.

4. Use care when entering your code so that others nearby (e.g., students, Annex guests, etc.) cannot identify your access code.

5. Ensure that all equipment has been turned off, all lights are turned off, and all doors are locked when you leave the room.
9. I agree to the above terms. *This question is required.