Remote Access Request
HR-074
Page 1 of 1
Employee
Employee Name
Employee ID
Department
Manager
Access Needed
VPN
Production systems
Finance systems
Admin console
Business Need
Reason / Details
Decision
Approve
Deny
Needs More Information
Employee Signature
Manager Signature
Date
Confidential · Acme Corporation HR
HR-074 · Remote Access Request · Page 1 of 1
