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Employee Key/Badge Request Form
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City Employee Key/Badge 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
Key/Badge Holder's First Name
Key/Badge Holder's Last Name
Key/Badge Holder's Title Per Their Personnel Action Form
Key/Badge Holder's Department
Key/Badge Holder's Division
Description of Key/Badge 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 key/badge 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.
A recent photo has been taken within the last 12 months.
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