Live example
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Access Request
Request access. Every request needs a justification and an end date.
Your name
*
(required)
Work email
*
(required)
Department
*
(required)
Your manager
*
(required)
Who is this for?
*
(required)
Select…
Myself
Someone in my team
A new starter
A contractor or third party
Their name and role
What access
What kind of access?
*
(required)
Select…
A system or application
A shared folder or drive
A database
Elevated or admin rights
A building or area
A physical key or fob
An external service or supplier portal
Which system, folder or area?
*
(required)
What level of access?
*
(required)
Select…
Read only
Read and write
Approve or authorise
Administrator
Not sure - see justification
What do you need to be able to do?
*
(required)
Should it match someone else's access?
*
(required)
Select…
No
Yes - I'll name them below
Whose access should it match?
Justification and duration
Why is this needed?
*
(required)
How long is it needed for?
*
(required)
Select…
A day
Up to a week
Up to a month
Up to three months
Up to a year
Permanently - part of the role
End date, if time-limited
How urgent?
*
(required)
Select…
Routine
Needed this week
Blocking work now
Approval
Who approves this?
*
(required)
Does the access involve sensitive data?
*
(required)
Select…
No
Personal data
Financial data
Health data
Commercially confidential
Not sure
I have completed the required security and data protection training
*
(required)
I have read and accept the acceptable use policy
*
(required)
I understand access will be granted at the minimum level needed and removed when no longer required
*
(required)
Leave this field empty
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