BPA F 5632_32 Card Key Access Request

BPA F 5632.32e
(08-18)

OMB

U.S. DEPARTMENT OF ENERGY
BONNEVILLE POWER ADMINISTRATION

CARD KEY ACCESS REQUEST
INSTRUCTIONS: Indicate where you are requesting access with an “X” and send this form ‘as an attachment’ via e-mail to
[email protected]. Security will contact the approvers for each area requested. All requests are approved and
processed electronically. Please allow five business days for processing.
1. Employee Name (Last, First, and M.I.):
2. Routing:
3. Work Phone:
4. Justification – Explain why this employee requires access to area(s):

PORTLAND ACCESS

VANCOUVER ACCESS

Administrator’s Suite, Room 717 SW

Z-695, Study Room

B-1 Freight Elevator @ Loading Dock

Z-691, NE Gate 16

B-101, Telephone Switch Room

Z-695, Dispatcher Training Facility

B-103, Mechanical Room

Z-759, Warehouse Bin Room

B-105, UPS Room

Z-610, IT Room, Door 139A

B-116, Microcomputer Install Room

Z-695, IT Install, Door 130

B-116A, Microcomputer Storage Room

Z-989, East Step Entry, Door 106N

B-120, Telephone Office

Z-992, without Basement Access

B-158, Electrical Room

Z-992, West with Basement Access

B-164A, Inactive Records Storage

Z-992, East Basement Door with PIN

B-164W, Central Records

Z-995, Ampere Annex, Door 100

B-188N, Storage
B-197A, COMSEC Room (VTR)

Z-1255, HazMat Building

B-198, Cyber Security

Z-989, North Ampere FIN NOC

HQ 905 Garage Gate Arm Access

Covered Parking @ Van Mall

BMS Room

Z-993, S. Exterior, Door 107E

Fire Egress Door

Emergency Scheduling Center (ESC)

Cafeteria Storage (B-1), Door 105 & Elevator

4400 Building, Suite 75

B-140A, Bicyclist Room/Aerobic Studio

4400 Building, IT Closet

Fitness Centers (access at Ross included)

OPP, Suite 326

Z-989, FIN Server Room

Human Resources, Doors 152W & 152SW
JTS-1, Room 168
JTS-2, Rooms 281, 288N, 288S, 289
JTS-2, Parts Room
JTS-2, PACS Server Cabinet
JTS-3, Room 368
JTS-4, Room 468
JTS-5, Room 568
JTS-6, Room 668
JTS-6, Room 668B
JTS-7, Room 768
Penthouse
Duty Scheduling Center (DSC)
Library Back Door 24/7
B-193, Cyber Forensics & Remediation

1

OFFICIAL USE ONLY

FILE CODE: SS-18-11 RETENTION: NNP = 2 YRS

OMB

BPA F 5632.32e
(08-18)

Paperwork Reduction Act Burden Disclosure Statement
This data is being collected to ensure the security and safety of its employees, contractors, and facilities. The data you supply will be used by security
personnel to provide employees access to specific physical sites. Public reporting burden for this collection of information is estimated to
average .17 hours per response, including the time for reviewing instructions, searching exiting data sources, gathering and maintaining
that data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer,
Enterprise Policy Development & Implementation Office, IM-22, Paperwork Reduction Project (enter OMB control number), U.S. Department of
Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction
Project (enter OMB control number), Washington, DC 20503.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure
to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information
displays a currently valid OMB control number.
The Paperwork Reduction Act (PRA) of 1995 requires each Federal agency to seek and obtain approval from the Office of Management and Budget
(OMB) before undertaking a collection of information directed to 10 or more persons of the general public, including persons involved in or
supporting the operations of Government-owned, contractor-operated facilities.