Access Request Form

This form is to submit requests for new, replacement, and overlays of City of Portland employee badges.
- Submissions are accepted from Authorized Access Coordinators (AAC's) only.
- If you do not know who your Access Coordinator is please follow the link below:
https://publish.smartsheet.com/66cc442a5b994fb18d9011b60c24ef2c
and have them submit for the access request.



Enter the employee's information whose access will be modified/added/removed.






If contractor, or non-City, employee enter N/A





Each request type has a corresponding section below.

Disable/Modify/Add Access: See 'Group/Access Level' below

1- New Access card
You are to enter what date/time the employee will come in for their photo to be taken.

2- Replacement/Overlay

3- Temporary Location Building cards

Ensure the appropriate information is entered below or the request will NOT be sent to Facilities Dispatch. Facilities Link will ask you for an update if you miss any information.





Please enter the cost object, I/O, to be charged. This field must have a valid entry at the time of submission.




If yes, what is the expiration date? If no, leave blank.


'Copy employee' is not acceptable entry and will be denied. Disable and Add/Remove access here.







Please allow at least two hours for Facilities Dispatch to create card if picking up card the same day as submission.



We offer interoffice mail for Replacement/Overlay cards where the existing employees photo on file meets security requirements. If not, the employee is required to come to Facilities Dispatch (1001 SW 5th Ave) for a new photo.




If Yes, Please enter your interoffice code and Facilities Dispatch will send the Replacement or Overlay to the AAC.


If No, please select what day the card will be picked up from Facilities Dispatch (1001 SW 5th, 5th floor).

Please allow at least two hours for Facilities Dispatch to create card if picking up card the same day as application.




For Sixth+Main:
'Access Card Waiver' form is available online at:
http://sixthmain.com/main.cfm?sid=pprocedures&pid=forms and must be attached at the time of submission.
For 400 SW 6th:
Please ensure you have the proper billing code attached above and describe access needed in Group/Access Level above.






Select your AAC's email from the dropdown menu. Only an AAC can request an Access change.

If you do not know who your Access Coordinator is please follow the link below:
https://publish.smartsheet.com/66cc442a5b994fb18d9011b60c24ef2c
and have them submit for the access request.



Alphabetical by first name


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