Request Building Access | New Masonic Temple

Submit this form only after the sponsoring organization has authorized the request. Building Operations keeps the request only until the badge is issued; the access-control system is the permanent record.

Request Contact

Who is making this request?

Your name

Email Phone

Badge Recipient

Who will the badge be issued to?

The badge is for the person making this request Badge recipient name

Badge recipient email Badge recipient phone

Authorization

Sponsoring organization

Sponsoring organization Organization name (if not listed) Reason for access

Approving officer name Approving officer office/title

Requested access profile / controller group Notes I confirm the sponsoring organization’s appropriate officer has authorized issuance of this badge.