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Employee Key/Badge Request Form

  1. City Employee Key/Badge Request

    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.

  2. Reason for New Badge / Key*

  3. What Type of Badge?*

  4. Verification of Information*

  5. Badge Holder Photo

    Submit a jpg file format with a head shot on a white background. The photo must have been taken within the last 12 months.

  6. Upload the Badge Holder's Photo Here

  7. Leave This Blank:

  8. This field is not part of the form submission.