PolyCard Services

Information Technology Services

ID Badge Request Form

Please fill out the fields below.  A PolyCard administrative member will contact the requestor to schedule a pickup date.  Allow for a two day schedule lead time.

Requestor
Please use your Cal Poly e-mail address. 
Recipient
Cal Poly username or email address
General Cal Poly Badge Options
Enter shop, department, work area, etc.
Enter job title:
ANTS Badge Options
Example: Student Assistant
Police Badge Options
Select from the list and type in Police Title below. 
Emergency Management Card Options
Facilities Operations Options
Please enter Shop and Job Title below.
Enter a shop or work area
Facilities Planning Options
Please enter Shop and Job Title below.
(enter n/c to re-print current information)
Enter a shop or work area
The file must include:
- First Name
- Last Name
- Calpoly username or email address
- Badge or card to be printed
- Shop and/or Job Title required by the badge/card

Files must be less than 800 KB.
Allowed file types: txt rtf doc docx xls xlsx.
Do you wish to have an oval hole punched and/or receive a clear ID badge clip?
Please describe any additional requirements
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Related Content