Employee ID Badge Request (COVID-19)
In order to work after today the state is requiring you have an ID badge, you must fill out this form COMPLETELY with all accurate information and upload a photo of yourself in front of a light colored wall. NO hats, glasses, or anything to obstruct your face. Photo Similar to a Passport Photo. Your signature is going to be on your badge so make sure it's somewhat legible.
Full Name
*
First Name
Last Name
Eye Color
Amber
Blue
Brown
Grey
Green
Hazel
Red
Height
*
Weight
*
Take Photo
*
Signature
*
This signature will be on your badge, so please try and make it as close to your real signature as you can.
Submit
Should be Empty: