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Access Request Approval Form

The document is an Access Request and Approval Form used for employees to request access to applications or systems. It includes sections for requestor details, access details, approval workflow, and access review & verification. The form requires signatures and dates for approval and verification processes.

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13 views1 page

Access Request Approval Form

The document is an Access Request and Approval Form used for employees to request access to applications or systems. It includes sections for requestor details, access details, approval workflow, and access review & verification. The form requires signatures and dates for approval and verification processes.

Uploaded by

shringa.coupon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Access Request and Approval Form

Section A: Requestor Details

Full Name: ____________________________________________________________

Employee ID: ____________________________________________________________

Department: ____________________________________________________________

Role / Designation: ____________________________________________________________

Email: ____________________________________________________________

Phone: ____________________________________________________________

Section B: Access Details

Application/System Requested: ____________________________________________________________

Type of Access Required: [ ] Read-only [ ] Edit [ ] Admin [ ] Other

Reason for Access: ____________________________________________________________

Section C: Approval Workflow

Manager/Owner Name: ____________________________________________________________

Manager/Owner Email: ____________________________________________________________

Manager Signature: ____________________________________________________________

Approval Date: ____________________________________________________________

IT/Admin - Access Granted On: ____________________________________________________________

Granted By: ____________________________________________________________

Access Method (e.g., SSO, VPN): ____________________________________________________________

Notes: ____________________________________________________________

Section D: Access Review & Verification

Verified by (Security/Compliance): ____________________________________________________________

Date of Review: ____________________________________________________________

Action Taken: [ ] Access Valid [ ] Access Revoked [ ] Escalated

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