Electronic Access Key Malfunction Report Form
Please provide detailed information about your electronic access key issue to help us resolve it efficiently.
Your Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Access Key Identifier (number, code, or tag)
*
Type of Malfunction
*
Please Select
Key not recognized
Intermittent failure
Reader shows error
Access denied
Physical damage
Other
Date and Time of Malfunction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Affected Access Points (doors, gates, etc.)
*
How often does the issue occur?
*
One time only
Occasionally
Frequently
Every time
Describe the issue and any troubleshooting steps already attempted
*
Submit Report
Should be Empty: