betterjobs

Free form template · Word

Password Reset Request

A password reset request form records an employee's request to reset a forgotten or locked password, or to re-enrol multi-factor authentication, and the identity checks IT carried out before doing it. It protects against attackers impersonating employees to get passwords reset.

  • Editable Word (.docx)
  • Made for India
  • 14 fill-in fields highlighted
  • Free, no sign-up

Preview of the form

[Highlighted] = fill in
[Company Logo][Company Name]

PASSWORD / MFA RESET REQUEST

Ticket No.:
[Ticket Number]
Date and Time:
[DD/MM/YYYY] [HH:MM]
Request Received via:
Walk-in / Phone / Ticket / Manager

1. Requester

Name[Employee Name]
Employee ID[Employee ID]
Department[Department]
Registered Mobile[Mobile Number]
Reporting Manager[Reporting Manager]

2. Account to be Reset

System / ApplicationUser IDReset Type
[Domain / Email][User ID]Password / Unlock / MFA re-enrol
[Application Name][User ID]Password / Unlock / MFA re-enrol

3. Reason

  • Forgot password
  • Account locked after failed attempts
  • Password expired
  • Lost or changed MFA phone
  • Suspected compromise / unusual activity

4. Identity Verification (IT)

  • Call-back made to registered mobile [Mobile Number]
  • Employee ID card checked in person
  • Confirmed by reporting manager (required for admin / finance accounts)
  • Employee details matched with HR records
Verified by[IT Executive Name]
Verification result: Passed / Failed – request rejected

5. Action Taken

  • Temporary password set and shared through [Secure Channel]
  • Change of password forced at next login
  • Account unlocked
  • Old MFA device removed and new device enrolled
  • Active sessions revoked (for suspected compromise)
  • Security team informed (for suspected compromise)

6. User Confirmation

I confirm that I made this request, that I have set a new password known only to me, and that I will not share it with anyone, including IT staff.

User
[Employee Name]
Date: [Date]
IT Helpdesk
[IT Executive Name]
Date: [Date]

What this template includes

  • Account and system to be reset
  • Reason for reset, including suspected compromise
  • Identity verification steps by IT
  • Manager confirmation for high-risk accounts
  • Secure delivery of the temporary password
  • Forced change at next login

When to use it

  • An employee is locked out of email, domain or an application
  • An employee loses the phone used for MFA
  • A password may have been compromised and must be changed
  • A self-service reset is not available for a legacy system

How to customise this template

  1. 1List the systems your helpdesk resets manually
  2. 2Choose your identity checks, for example a call-back to the registered number
  3. 3Require manager approval for admin and finance accounts
  4. 4Add your self-service reset link so routine cases do not need this form
  5. 5Link suspected compromise cases to your incident process

HR tips

  • Never reset a password based only on an email or chat message
  • Call back on the registered mobile number, not the number the caller gives
  • Do not read out or send passwords on shared channels
  • Treat repeated reset requests as a possible security signal

For HR & hiring managers

Hire top talent from BetterJobs

Experienced and fresher candidates across India — blue, grey and white collar. Post a job in 5 minutes and start receiving applications.

  • Post in 5 minutesDescribe the role in one line — we write the job description.
  • Verified applicantsEvery applicant has a verified mobile number.
  • Resume databaseSearch experienced candidates by skill, city and experience.

Frequently asked questions

Why do companies use a form for password resets?+

A form makes sure IT verifies the requester's identity and keeps a record, which reduces the risk of someone impersonating an employee to take over an account.

How should IT verify identity before a password reset?+

Common methods are a call-back to the registered mobile, verification through the reporting manager, or checking employee details on file. Avoid relying only on information that is easy to find.

What if the employee suspects their account was hacked?+

Tick the suspected compromise option. IT should reset the password, revoke active sessions, review recent activity and follow the security incident process.