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PROGRAM ADMINISTRATOR <br /> ACKNOWLEDGMENT OF RECEIPT OF KEYS <br /> I, acknowledge receipt of a key to the <br /> (Print Employee Name) <br /> (State which File Cabinet or Door) <br /> I understand that I: <br /> 1. Must not make unauthorized copies of key. <br /> 2. Must safeguard the key and not give it to anyone else. <br /> 3. Must not use the key to give access to unauthorized persons. <br /> I also understand that unauthorized disclosure of Enterprise Income Verification (EIV) <br /> data can result in a felony conviction punishable by a fine of up to $5000 and/or <br /> imprisonment up to five (5) years, as well as civil penalties. Also. unauthorized <br /> inspection of EIV data can result in a misdemeanor penalty of up to $1000 and/or one <br /> (1)-year imprisonment, as well as civil penalties. <br /> Signature of Recipient Date <br /> Signature of Program Administrator Date <br /> 159 <br />