Pleas
e complete form in all CAPS.
Edge Colocation Contract Number (PNUM begins with "EDG")
Requestor Information
Name
Type
Please select...
Edge Colocation Access Card Application
Email
Phone Number
Access Card Information
Type of Access Card
Initial (Employee has never had an access card issued by Frontier to access the Collocation space.)
Replacement (Lost/Stolen - Provide Existing Card Information Below)
Renewal (Expired - Provide Existing Card Information Below)
Reason for Replacement
Existing Card Number
Expiration Date
Applicant Personal Information
First Name
MUST BE ALL CAPS
Middle Initial
MUST BE ALL CAPS
Last Name
MUST BE ALL CAPS
Is Applicant a U.S. Citizen?
Yes
No
Alien Registration Number
Applicant Professional Information
Company Name
Edit section title
Manager Name
Manager Phone Number
Street Address
City
State
Zip
Applicant Job Title
Employee or Contractor
Edge Colocation Employee
Edge Colocation Contractor
Access Locations
Select Frontier State(s) for Collocation Access:
AL
AZ
CA
CT
FL
GA
IA
IL
IN
MI
MN
MS
NC
NE
NM
NV
NY
OH
PA
SC
TN
TX
UT
WI
WV
Edge Colocation Access Card Mailing Address
Mailing Address (Must be the business address of the approved Secure Edge Colocation Point of Contact)
Company Name
Attention
Street Address
City
State
Zip
Phone Number
Email Address
Photo ID Submission Required
Frontier Security requires all Access Card requests (Initial / Renewal / Replacement) to include a current photo in .jpg or .jpeg format, no hat and no sunglasses.
Photo ID
.jpg or .jpeg format only