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
DEM000001
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
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