ID Badge Update and Access Request

To update an employee’s ID badge, or modify their access, the employee’s supervisor must complete and submit the form below. If a new badge is needed, it will be mailed to the supervisor via interoffice mail. If you have any further questions or concerns, please don’t hesitate to contact your campus’s Security or ID Badging Office.
You can find ID Badge office hours and contact information on the Nsite by navigating to: Departments > Safety, Security & Emergency Preparedness > Security Department Page > ID Badging Request and Office Hours.

Your AHSN(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Title(Required)

Supervisor Name(Required)

First Last

Supervisor Phone(Required)

Maximum of two credentials, relevant to job

Department or Company Name(Required)

All Digits on Back of Badge(Required)

Select the campus or group where access is needed(Required)

Type of Request(Required)

Name Change

Access Update/Change

Replace Lost/Damaged Badge

Title/Department Change

Other

Other Type of Request(Required)

Describe your need and/or area you need access to(Required)

Badge distribution will be sent by interoffice mail(Required)

Please provide your inter office mail ID number or office address below to ensure we can efficiently distribute.
If access only, please enter NA.

Please Note

To ensure compliance with NHC’s “Appearance and Attire” and “Identification” policies, please follow these guidelines for your ID photo:

Background: Plain Light/Neutral Color – Choose a simple, light, or neutral-colored background for your photo.
Photo Requirements: Head Shot – The photo should capture your head and shoulders, clearly showing your full face.
Have someone else take your photo; no selfies allowed.
Unobstructed Face: Do not wear masks, caps, scrubs, scarves, or sunglasses in the photo.
Photo Format: JPEG Format – Save your photo as a JPEG file.

Please upload a photo to your computer and save it as a JPEG first.

Accepted file types: jpg, jpeg, Max. file size: 256 MB.