Form Center

2. 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.
4. Name
5. Email Address
7. Reason for Replacement*

   1. Lost or misplaced
   2. Broken
   3. No longer swiping
   4. Lanyard space is broken
8. Damage reason*
   If badge was damaged, please describe how the damage occurred. If this reason does not apply, type N/A.
10. Date Submitted*
    Date Submitted
Leave This Blank:


12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

* indicates a required field