<html lang=”en”>
<head>
<meta charset=”UTF-8″>
<meta name=”viewport” content=”width=device-width, initial-scale=1.0″>
<title>Access Provisioning Form</title>
<style>
body { font-family: Arial, sans-serif; margin: 20px; }
form { max-width: 600px; margin: auto; padding: 20px; border: 1px solid #ccc; border-radius: 5px; }
label { font-weight: bold; display: block; margin-top: 10px; }
input, select, textarea { width: 100%; padding: 8px; margin-top: 5px; }
button { margin-top: 15px; padding: 10px; background-color: #007BFF; color: white; border: none; cursor: pointer; }
</style>
</head>
<body>
<form>
<h2>Access Provisioning Request</h2>
<label for=”fullName”>Full Name:</label>
<input type=”text” id=”fullName” name=”fullName” required>
<label for=”email”>Email Address:</label>
<input type=”email” id=”email” name=”email” required>
<label for=”department”>Department:</label>
<input type=”text” id=”department” name=”department” required>
<label for=”accessLevel”>Requested Access Level:</label>
<select id=”accessLevel” name=”accessLevel” required>
<option value=”Read Only”>Read Only</option>
<option value=”Edit”>Edit</option>
<option value=”Admin”>Admin</option>
</select>
<label for=”systems”>Systems Requested:</label>
<textarea id=”systems” name=”systems” rows=”2″ required></textarea>
<label for=”reason”>Reason for Access:</label>
<textarea id=”reason” name=”reason” rows=”4″ required></textarea>
<label for=”requestDate”>Date of Request:</label>
<input type=”date” id=”requestDate” name=”requestDate” required>
<label for=”approver”>Approver Name:</label>
<input type=”text” id=”approver” name=”approver” required>
<label for=”approvalDate”>Approval Date:</label>
<input type=”date” id=”approvalDate” name=”approvalDate” required>
<label for=”tracking”>Tracking Method:</label>
<select id=”tracking” name=”tracking” required>
<option value=”Jira”>Jira</option>
<option value=”Access Checklist”>Access Checklist</option>
<option value=”Other”>Other</option>
</select>
<button type=”submit”>Submit Request</button>
</form>
</body>
</html>
