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Key / Access Request
Office Building Key Card & Door Access Badge Request Form
Umber theme
formbuilder.ai/f/office-building-key-card-door-access-badge-request-form
Office Building Key Card & Door Access Badge Request Form
Full Name
· · ·
Work Email Address
· · ·
Contact Phone Number
· · ·
Submit
3
Pages
22
Questions
~7min
To complete
Free
No credit card needed
Field types
Short Text ×6
Long Text ×3
Email ×2
Full Name
Phone
Single Choice
Multiple Choice
daterange
Dropdown
Priority Selection
singlecheckbox
termsandconditions
Signature
Date
Questions in this template
Free templateThe exact questions included — customize any of them to fit your needs.
Page 1
Requester Information
8 questions
Requester Information
1
Full Name
*
Full Name
2
Work Email Address
*
Email
3
Contact Phone Number
*
Phone
4
Employee ID / Badge Number
*
Short Text
5
Job Title
*
Short Text
6
Department
*
Short Text
7
Manager / Supervisor Name
*
Short Text
8
Manager / Supervisor Email
*
Email
Page 2
Access Details
9 questions
Access Request Details
1
Request Type
*
Single Choice
2
Building Name / Address
*
Short Text
3
Areas Requiring Access
*
Multiple Choice
4
Specify Floor(s) or Room Number(s)
Long Text
5
Access Period Required
*
daterange
6
Access Schedule
*
Dropdown
7
If Custom Schedule, Please Specify Days and Hours
Long Text
8
Request Priority
*
Priority Selection
9
Reason / Justification for Access
*
Long Text
Page 3
Acknowledgement & Authorization
5 questions
Acknowledgement & Authorization
By submitting this request, you acknowledge that you will comply with all building security policies. Key cards and access badges remain property of the organization and must be returned upon termination, transfer, or when access is no longer required. Unauthorized duplication, sharing, or misuse of access credentials may result in disciplinary action.
1
I confirm that I have read and agree to the building access security policy
*
singlecheckbox
2
I agree to the terms and conditions governing key card and access badge usage
*
termsandconditions
Manager / Supervisor Authorization: By signing below, you confirm that you approve this access request for the above-named employee.
3
Approving Manager's Name
*
Short Text
4
Manager / Supervisor Signature
*
Signature
5
Date of Authorization
*
Date
How to use this template
Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.
- Ready-to-use structure — pre-configured fields out of the box
- Applied "Umber" theme — fonts, colors, and layout already set
- Mobile-responsive — works on every device without extra configuration
- Fully editable with drag-and-drop — change anything in seconds
- Free to use on any plan, no credit card required
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