Purpose:  The purpose of this form is for ATC Suppliers and LDC’s to request unescorted access privileges for their employees to ATC.

To initiate the process, please complete the form below and click the SUBMIT button to route the request to ATC Corporate Security.  Upon receipt, Corporate Security will begin the onboarding review and approval process in accordance with ATC’s policies and procedures.

You will receive an electronic response confirming receipt of your information.

Please note:  Submittal of this form does not guarantee that the individual submitted will be approved for unescorted access privileges to ATC.

* All fields are required.

Company Information

Name of Supplier or LDC Company *
Name of Individual Submitting Form *
Contact Email *
Contact Telephone *
Name of ATC Sponsor (if known) *

Employee Information
Name of Individual to be cleared for access:

LAST Name *
FIRST Name *
Middle Initial *
Individual Email Address *
Individual Title/Role *
Individual Supervisor *
Type of Services to be Performed *	Auditor Consultant Temporary Labor Building/Site Maintenance Services Engineering Services Substation Support Other (please explain)
Type of Access Requested *	Physical Cyber/Network CIP Protected Information Other (please explain)
ATC Physical Sites * (please list all that apply)
Requested Access Date * (note: 2-week minimum required)
Project or Contract End Date (if applicable) * If not applicable, indicate “n/a”

Thank you for your support. If you have any questions or need further information, please contact the ATC Corporate Security Department @ 262-506-6199. Please click "Submit".