Microsoft Badging Form

Thanks for your interest in working Microsoft flu vaccination events. Microsoft requires all providers to complete a background check and badging process prior to working their events. Please complete this process as soon as possible. You must obtain your physical badge prior to your first event. If you’ve worked Microsoft events previously, you still need to complete the process to work events this fall.

We’ve broken down the process into 5 steps.

Step 1: Microsoft Access Request Form

Step 2: HireRight Background Check Authorization Form

Step 3: Microsoft Resource Access Agreement (RAA) and Supplier Code of Conduct (SCOC) Forms

Step 4: Badge Pick up from a Microsoft Security Office

Step 5: REDMOND ONLY - Notification to TotalWellness of Process Completion

Fill out the form below to complete Step 1.

Legal Name*

First

Last

Email*

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Email Address

Phone*

In which state will you be working?*

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Which state will you be working in?*

Have you worked for Microsoft as a contractor?*

Yes

Date Worked for Microsoft:*

Previous Personnel #*

Enter UNKNOWN if you do not know your previous personnel number.

Do you have your Microsoft badge from working there previously?*

Yes

For parking purposes, Microsoft has requested that we provide information on the vehicle you will be driving to the event.

License Plate State*

License Plate Number*

Vehicle Make*

Vehicle Model*

Vehicle Color*

Vehicle Year*

By signing and submitting this form I'm authorizing TotalWellness to share my information with Microsoft for the purpose of receiving a badge to work at Microsoft Vaccination Events.

Signature*