Create a Website Account - Manage notification subscriptions, save form progress and more.
Start Date or Last day of work
If you do not have a photo available, we will issue a non-photo ID Badge, or take a photo on your behalf.
Please check boxes for any additional access this employee needs
All Clerk personnel are issued a badge with access to Independence Courthouse & 1840 Simon Kenton Way unless "No Badge Requested" is checked
All County Attorney personnel are issued a badge with access to 1840 Simon Kenton Way.
Providing the name of the previous or a similar employee that this new employee will be replacing helps us determine what badge security to provide, what software permissions to assign, and what computer the new employee will be assigned to.
Technology Services will contact you to discuss how to handle County issued mobile devices if necessary.
Technology Services' standard policy for departing employee kentoncounty.org email accounts:
If you would like to retain the email address or inbox, please select appropriate options below:
Please enter the email address you want user's email forwarded to.
Employee will need access to the following:
Please let us know of any other comments or IT considerations regarding employee needs.
Submitter's name, in case there are follow-up questions
This field is not part of the form submission.
* indicates a required field