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  1. If you have misplaced or lost your badge, you must pay a $5.00 fee to the Treasurer's Office. After paying the fee, bring the receipt to the Human Resources Office and a replacement badge will be sent to your supervisor.
  2. Reason for Replacement*
  3. If badge was damaged, please describe how the damage occurred. If this reason does not apply, type N/A.
  4. Leave This Blank:

  5. This field is not part of the form submission.