Charles A. Beard Card Access Request Form



Activate, Deactivate, Change Card:
Activate Card Deactivate Card
Delete Card (Employee Left)
Change

Last Name:


First Name:


Middle Initial:


Card Group Type:

Building Access (You May Pick Multiple):
KHS
KIS
KES
CO

Hours Of Access (Select One):
24/7 (Tchr., Cust., Sec., Admin.)
5AM-5PM M-F (Aids,Bus Drivers, Cafe)
Other (Explain Special Notes)

Special Notes:


***Note: You must use Outlook 2010 Client to submit work orders***