Wills Eye Institute Security Access Badge Request Form:

Wills Eye Institute Security Access Badge Request Form:Directions:1) This form is to be completed only by the dept. head.2) The Employee Information, Badge Type, General Access Type, and Authorization sections must be fully completed. Optional 24-hour Access is optional.3) Regular Access: If a department’s doors are automatically programmed to unlock during normal office hours, then no additionalaccess needs to be added. However, if a department’s doors are set to card-only during the day, then only 24-hour access can begiven. Dept. heads must be made fully aware of this.4) Optional 24-hour Access to a dept. can only be authorized by the head of that department.5) All changes must be verified with the dept. head by phone or in person.New ID badges:1) New employees must obtain a Swipe Card Request form to be completed and signed by their department head. Swipe CardRequest forms can be obtained on the 15 th floor from Information Technology or Human Resources.2) Human Resources can authorize all General Access Types except Regular and Building Services access. Optional 24-hour Accessis authorized only by that department’s head.3) New employees report to the badge printing office in Human Resources.4) Verify that the person is who they say they are. View a photo ID such as a Jefferson ID or driver’s license.5) All Swipe Card Request information is confirmed with the dept. head.6) Employees must sign the “Badge Sign-In” sheet to verify that they have received their badge.7) Badges are created and issued.Changes in Access Levels:The same procedures apply except the dept. head will check “Change in Access Level” on the top of the form.For IT/HR use onlyEntered by: Date: _____/_____/_____ Badge No.: Revision: 11/09/2004