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Employee Badge / Key Request Form
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City Employee Badge/Key Request
<center> This form is for City of Boulder City Employees only. If you have any questions about this form or how to use it please contact Public Works.
This form is for City of Boulder City Employees only. If you have any questions about this form or how to use it please contact Public Works.
Type of Request
-- Select One --
ID / Badge Request
Mechanical Key Request
Requestor's First Name
Requestor's Last Name
Requestor's Email Address
Badge / Key Holder's First Name
Badge / Key Holder's Last Name
Badge / Key Holder's Title Per Their Personnel Action Form
Badge / Key Holder's Department
Badge / Key Holder's Division
Description of Key Functionality (Which doors should it work?)
Reason for New Badge / Key
What Type of Badge?
Verification of Information
By checking here you have verified all information and spelling and understand that the badge / key will be created exactly from the information provided.
By checking here you have verified that the employee has already taken their photo at the Human Resources Office.
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