Request access to Council Buildings form
Ensure all requests are submitted a week in advanced (By Friday - a week's notice prior to access)
Name of person completing request
First Name
Last Name
Name of person requiring access to Council building/s (if not same as above)
First Name
Last Name
Please advise if person requiring access is internal staff / external
*
Internal staff
External Contractor
Member of community
Other
Phone Number (In case of an emergency)
*
(Mobile number 04## - ### - ###)
Purpose of visit
*
(i.e Site visit)
Name Council building requiring access to: If access is required to multiple Council buildings list below in the format: [Date of access required - Council Building - Length of time]
(i.e. 27 Aug 20 - St Kilda Town Hall - 9.00am - 2.30pm)
Date of access required
*
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Day
-
Month
Year
Date Picker Icon
Time In - Time Out
*
1
2
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9
10
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12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Until
until
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2
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9
10
11
12
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
AM
PM
AM/PM Option
Additional info (if required)
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of
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