Form AUX 3.10 (1/07)

UNCW ONE CARD

IDENTIFICATION (I.D.) CARD REQUEST

TO:         UNCW ONE CARD OFFICE

1. Please issue an Identification Card as follows:

• Employee’s, Visitor’s or Contractor’s name:                                      __________________________________________________
• Employee's, Visitor’s or Contractor’s I.D. Number (if no Banner ID number has been assigned, a number will be assigned in the UNCW One Card Office):  __________________________________________________
• University Department Where Employee Works or is Sponsored:__________________________________________

2. Type of Identification Card Being Requested:

[    ]  Permanent University Employee

[    ]   Retired University Employee

[    ]   *University Employee on Temporary Status
           (Expected Termination Date:  ____/____/____)

[    ]   *Contracted Services Employee Qualifying for UNCW One Card
(Expected Termination Date: ___/___/___)

[    ]   *UNCW Sponsored Visitor
           (Expected Termination Date:  ____/____/____)

* By giving approval for this type of I.D. card, the Department Head/Director agrees to collect the I.D. card from the employee at the conclusion of his/her temporary employment with the department and to return the I.D. card to the University Identification Center.

3. Approval to Issue UNCW One Card:

Permanent, Temporary, Contracted Services Employee or Sponsored Visitor:

__________________________________________            _______________
Signature of Department Head/Director or Sponsor                        Date

Retired Employee:
__________________________________________             _______________
Signature of Human Resources Specialist                                     Date

4. Identification Card Issued By:

__________________________________________             _______________
Signature of I.D. Representative                                                     Date

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For permanent and retired employees:       The employee should hand carry this form to the UNCW One Card office and present it to the staff.

For temporary, contracted services employees and sponsored visitors:       The employee/sponsored visitor should hand carry this form to the UNCW One Card office.  The department should retain a copy of this form to ensure the UNCW One Card is retrieved at the end of the temporary assignment.