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NYS Education Department Photo ID Card Request Form EB/EBA Buildings

After completing this form, check the Authorized Personnel List for ID Approval and route your request to the authorized staff member(s) in your department for approval. Forms may only be submitted by those on the Authorized Personnel list. Enter all information and specify a reason if replacing an ID Badge as requested below. Lack of information will delay the access request.

 
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Employment Status
Select all that apply.
Non-employees require HR approval before ID can be issued. An ID cannot be distributed for a non-employee until Human Resources has confirmed that the Non-Employee Information Form (NEIF) has been completed (including valid photo identification). If you have not already submitted a NEIF for this non-employee, the form can be found here: http://www.nysed.gov/common/nysed/files/nonemployeeinfoform.pdf
Enter name of Authorized Approval Personnel submitting this form.
Enter second name of Enter name of Authorized Approval Personnel submitting this form if needed.