ID Badge Deactivation

Notify the Credential Center immediately when a badge holder's employment has been terminated. Use this form for all termination notifications and badge deactivation requests. This form works best with Internet Explorer 8 or Mozilla Firefox 4. Not all browsers are supported.

Deactivation Type:

Employee Termination

Other Badge Deactivation

Other Badge Deactivation Comments:

Customer Information

Employee Information

First Name:

Last Name:

Middle Initial:

Employee Job Title:

POS Badge Employee# (if available):

Additional Comments:

Badge Possession Information:

Employer DOES NOT HAVE physical custody of this badge

Employer DOES HAVE physical custody of this badge

All information submitted through this notification online form request is subject to verification by the ID Access office with the company requesting the badge deactivation.

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ID Badge Deactivation

Customer Information

Employee Information

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