Charlotte Plaza

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Building Access Form

***Required for all building Deliveries, Catering, Vendors & Contractor Access***

Please submit forms 24 hours in advance of access request.
Forms submitted with less than 24 hour notice should be followed up with a phone call.
Please contact the Management Office at 704.376.4186 with any questions.

***Submitted forms do not guarantee access. You must receive confirmation or approval for the request.***

Tenant Name

Tenant Contact

Tenant Contact Number

Floor/Suite Affected

Date of Delivery/Work

Time of Delivery/Work

Vendor Name

Vendor Contact

Vendor Contact Number

Certificate of Insurance on File

Yes No

If no, please contact the Management Office for requirements

Security Assistance Required

Yes No

If yes, please specify the type of assistance required below

Security Engineering Assistance Required

Yes No

If yes, please specify the type of assistance required below

VENDOR/CONTRACTOR PARKING: The Loading Dock is limited to 30 minute parking for deliveries and pick-ups. Vendors and Contractors working in the Building are responsible for paying for their parking in the Garage (hourly rate), on Easement Drive (Tag Fee) or by other means Uptown.

Scope of Work

Special Requests

Submitted By:

(Authorized Tenant Name)

Date:

Thank you for
submitting your Building Access Form.