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Employee Change of IT Access Form

Steps

  1. 1. Step One
  2. 2. Step Two
  3. 3. Employee Technology Needs
  • Step One

    1. Access Change Type

    2. Hire Date or Last day of work

    3. Employee Information

    4. *This will be listed on ID Badge

    5. If you do not have a photo available, we will issue a non-photo ID Badge, or take a photo on your behalf.

    6. Clerk ID Badge Access:

      Please check boxes for any additional access this employee needs
      Please note all Clerk personnel are given access to Independence Courthouse & 1840 Simon Kenton Way

    7. Sheriff ID Badge Access:

      Please note all Sheriff personnel are given access to Independence Courthouse & 1840 Simon Kenton Way

    8. CareHere Lab Pickup

    9. County Attorney - Child Support

    10. (Only for employees needing a new ID Badge)

    11. (Only for employees needing a new ID Badge)

    12. Does this employee need a temporary access badge or keyfob?

      Badges for new Employees at Dispatch or Police may be delayed until we have photograph, birthday, and employee number to add to their ID Badge, since it is also used as an Employee ID. If new employee will need a temporary method to access the building until new badge is ready, click "yes".

    13. Building Access (Keycard/ID Badge)

      What buildings does employee need access to? (Only for new/changed employees)