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Password Reset Request Form Template

Streamline User Account Security with This Essential Template

If your users have difficulty remembering their passwords, a clear and accessible form can ease their frustration. This Password Reset Request Form Template helps your users quickly request a password change, ensuring they regain access to their accounts smoothly. Enhance user experience, improve security, and decrease support requests all at once. With WCAG-aligned labels, this template meets accessibility standards to cater to all users. Explore the live template and simplify the process today.

Use this Template (FREE) Live Preview
Full name
Email address for contact
Phone number (optional)
Preferred contact method
Email
Phone
No preference
Is this request for your own account?
Yes
No
Username or account ID
Email currently associated with the account (if known)
Account type
Personal account
Work account (employee)
Work account (contractor)
School account
Other/Not sure
Which access methods can you currently use?
Email inbox on file
Phone number on file (SMS or calls)
Authenticator app
Hardware security key
Backup codes
None of these
Not sure
Date of your last successful sign-in (approximate)
Additional information to help verify your identity (optional)
Most recent device used to access the account
Windows PC
Mac
Linux
iPhone
Android phone
iPad/Android tablet
Other/Not sure
Primary reason for this password reset request
Forgot password
Account locked
Suspected account compromise
Two-factor device lost or changed
Password expired
New device cannot authenticate
Other
Please Specify:
How urgent is this request?
Not urgent
Normal
Urgent
Critical
Preferred reset or verification method
Send reset link to registered email
Send code via SMS to phone on file
Manual reset by support after verification
Call me to verify
No preference/Other
Typed signature (full name)
Date of signature
I authorize the support team to verify my identity and reset my password for the account specified.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration showcasing a password reset request form template design for FormCreatorAI article

When to use this form

Use this form when you cannot log in and need a secure reset. It helps employees, students, contractors, or customers who forgot their password, were locked out after too many attempts, or suspect a breach. This template also works as a simple forgot password form your team can process quickly. Support staff benefit by getting the details needed to verify identity and restore access fast. Typical cases include a new device blocking sign-in before a deadline or a returning user after months of inactivity. If you need written proof for HR or audits, add a Letter request form. After the reset, you can record acceptance with a Customer sign off form.

Must Ask Password Reset Request Questions

  1. What is your username or email on the account?

    This lets support find the right profile and avoid delays or changes to the wrong account. It also helps spot duplicates or deactivated users before taking action.

  2. What is the best contact to receive the one-time reset code (email or mobile number)?

    You confirm a reachable channel for secure delivery. This reduces back-and-forth and stops codes from going to outdated contacts.

  3. Do you have access to your current multi-factor method (authenticator app, SMS, or security key)?

    Your answer shows whether we must issue a bypass or re-register MFA. It prevents lockouts while keeping the account secure.

  4. Is a manager or system owner approval required for your account?

    Some roles or systems need sign-off before credentials change; include approver details to speed routing. If approval is needed, submit an Approval request form alongside this request.

  5. Why do you need the reset today? (forgot password, account locked, suspected compromise, other)

    The reason sets priority and workflow; suspected compromise may trigger extra steps. If you need a temporary policy waiver, attach an Exception request form so the team can document the risk.

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