Facilities Key and Prox Card Request Prox Card and Key Request Date(Required)Last Name(Required)First Name(Required)Employee #(Required)Contact Number(Required)Position Title(Required)Supervisor Name(Required)Supervisor Contact Number(Required)Department(Required)City Attorney's OfficeCity Clerk'sCity Managers OfficeCommunication & EngagementCommunity DevelopmentCulture/Parks/RecEconomic Health & HousingFinanceFireHomeless SolutionsHousing SolutionsHuman ResourcesInformation TechnologyMunicipal CourtPolicePublic WorksWater & SewerDivision(Required)LocationBuilding(Required)Active Adult CenterA Street Shop GatesA Street Shops TrafficA Street Shops WaterBellvue Water TreatmentBoyd & Bellvue Master (Not Chlorine)Boyd & Bellvue Chlorine RoomsBoyd LakeCC South Channel 8CC South Code EnforcementCC South CouncilCC South ITCC South Municipal Court MasterCC South Municipal Court OtherCC South Municipal Court ProsecutorCC South Municipal Court Public DefenderCC South RecordsCC South Door 185 Record HallCC South Master All DoorsCC South WaterCC North 1st FloorCC North 2nd FloorCC North 3rd FloorCC North 4th FloorCC North ComplexCity Hall ComplexCity Hall Outside BuildingEquipment MaintenanceFacilities ManagementFamily Fun Plex MasterFire & Police Master AccessFire Station #1Fire Station #1 North Office HallFire Station #2Fire Station #3Fire Station #4Fire Station #5Fire Station #6Fire Station #7Fire Station MasterFire Station VendorsFire Station Western HillsForestry OfficesIce Haus General EmployeesIce Haus MasterIce Haus Refrigeration RoomIce Haus South Entrance OnlyIsland Grove Event CenterMuseums Collections Vol/InternsMuseums Events & OperationsMuseums Exhibit WorksMuseums Exterior Door OnlyMuseums Internal CollectionsMuseums Master All DoorsNAT Office (Nature and Trails)Parks OfficePublic WorksRec & FFP Not PoolRec & FFP Pool AccessRec Center MasterRec Climbing & RacquetballRec Family Changing RoomRec Kitchen AccessRec Exterior OnlyRec Racquetball RoomRec ArcheryRec SwimmingRodarteStreets Chemical RoomStreets Main BuildingStreets Master (Not Chemical Room)Transit Admin MasterTransit Bus Admin SupervisorTransit Bus MaintenanceTransit General AccessTransit IT Control RoomTransit Maintenance IT RoomTransit North & South GateTransit VaultUCCC MasterWellness Clinic AccessWastewater CollectionsOther - Please SpecifyBuilding (Other)(Required)Desk LocationStatus(Required) Full Time Part Time Seasonal Volunteer Contractor Other - Type Status Days in Office(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start Time Hours : Minutes AM/PM AM PM AM/PM End Time Hours : Minutes AM/PM AM PM AM/PM Other - Please ExplainType of Request(Required) New Employee Add or Remove Access on Existing Employee Termination/Resignation Requesting Prox Card Key Returning Prox Card Key Prox Card #Reason for Request Access: Please explain specifics as to the building location request(Required)Key ListConsent(Required) I validate that as the managing supervisor for this employee I have submitted this requestSupervisor Initals(Required)Prox Card Access LocationsColumn1 Active Adult Center A Street Shop Gates A Street Shops Traffic A Street Shops Water CC South Channel 8 CC South Code Enforcement CC South Council CC South IT CC South Door 185 Record Hall CC South Master All Doors CC South Water Column 2 CC North 1st Floor CC North 2nd Floor CC North 3rd Floor CC North 4th Floor CC North Complex City Hall Complex City Hall Outside Building Equipment Maintenance Facilities Management Family Fun Plex Master Forestry Offices Column3 Ice Haus General Employees Ice Haus Master Ice Haus Refrigeration Room Ice Haus South Entrance Only Island Grove Event Center Museums Collections Vol/Interns Museums Events & Operations Museums Exhibit Works Museums Exterior Door Only Museums Internal Collections Museums Master All Doors NAT Office (Nature and Trails) Parks Office Public Works Rec & FFP Not Pool Rec & FFP Pool Access Rec Center Master Rec Climbing & Racquetball Rec Family Changing Room Column4 Rec Kitchen Access Rec Exterior Only Rec Racquetball Room Rec Archery Rec Swimming Streets Main Building Streets Master (Not Chemical Room) Transit Admin Master Transit Bus Admin Supervisor Transit Bus Maintenance Transit General Access Transit Maintenance IT Room Transit North & South Gate UCCC Master Wastewater Collections OtherRestricted Areas AccessThe following locations require a CJIS (Criminal Justice Information Services) Certificate and written approval from either the Director of this area or their designee. By checking this box I confirm that I am CJIS certified AND have written approval The following Prox Card and Key Access Locations are restricted because of High SecurityYou must have a CJIS (Criminal Justice Information Services) Certificate and written approval from either the Director of this area or their designee. Police HQ Police Secondary Police Gun Range Municipal Court City Attorney's Office both City Center North and City Center South CC South Municipal Court Master CC South Municipal Court Other CC South Municipal Court Prosecutor CC South Municipal Court Public Defender Fire & Police Master Access For the following locations, you must have written approval from the Department's designee. By checking this box I confirm that I have written approval from the respective Department's designee The following Prox Card and Key Access Locations are also restricted because of Hazardous Areas or SecurityYou must get written approval from the Department designee to get approval of access. Bellvue Water Treatment Plant - Water Department Boyd Water Treatment Plant - Water Department Boyd & Bellvue Master (Not Chlorine) City Clerk's Records at City Center South Human Resources Office at City Hall IT Control Closets - IT Department Fire Station #1 Fire Station #1 North Office Hall Fire Station #2 Fire Station #3 Fire Station #4 Fire Station #5 Fire Station #6 Fire Station #7 Fire Station Master Fire Station Vendors Fire Station Western Hills Reservoir Road Complex Reservoir Mosier Hill Complex Reservoir Gold Hill Complex Reservoir Zone 4 Rodarte Center Street Chemical Storage - Street Division Transit Vault - Transit Division Transit IT Control Room Water Control Pollution Complex - Water Department Wellness Clinic - Human Resources Department OtherKeys:Please check the building(s) to which you need a key. Please explain what access you need in the 'Reason for request access' box above.KeyColumn1 Active Adult Center Boomerang Centennial Village CC North CC South City Hall (CC East) Equipment Maintenance Facilities Management Family FunPlex Fire Station #1 Fire Station #2 Fire Station #3 Fire Station #4 Fire Station #5 Fire Station #6 Fire Station #7 Fire Station Western Hills KeyColumn2 Highland Hills Ice Haus Meeker House Museum Police Gun Range Police HQ Police HQ Secondary Rec Center Rodarte Streets Traffic Transit UCCC Water Other Water Reservoirs Water Shop Other - Please ExplainTime Hours : Minutes AM/PM AM PM AM/PM CAPTCHA
