Sample key custodian form

Name of key custodian:   _________________________________

Personnel Number:        _________________________________

Position:                  _________________________________

I hereby confirm and agree that

  • I have read and understood the policies and procedures that are associated with key management and I will comply with them.
  • I understand that non-compliance with the key management procedures can lead to disciplinary action including termination of employment and prosecution.
  • I am aware that cryptographic keys and related information are sensitive information. I will treat them with due care.
  • I will never divulge any key management or related security systems, passwords, processes, keys, security hardware, or secrets to any unauthorized party.
  • I understand and accept my responsibilities as a key custodian.

Date:                   _________________________________

Key custodian signature: _________________________________

Supervisor signature:    _________________________________