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

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.