Building Access

Name of person completing form:*

Email of person completing form:*

Please Note: The person completing this form assumes responsibility for the person for whom they are requesting access. It is the requester's responsibility to communicate changes, as well as distribute and recover keys and fobs.

Name of person who needs access:*

First Last

Reason for access:*

Location:*

What do they need access to? Check all that apply.*

Is this request for permanent or temporary access?*

What dates will they need access to the building?*

What timeframe will they need access? (Standard access is between 8am - 6pm)*

Does the person need a key fob?*

Does the person need a physical key? (*please note: keys are rarely approved for individuals)*

BUILDING ACCESS REQUEST