Facilities – Access Card System Information Form

This form is collecting information to give you card access to the facility you work in. IMPORTANT: To obtain the "* 6 digits" as requested below from your staff or student card: flip the card over and across the back of the card along the bottom there are a series of numbers slightly lighter font than the rest of the writing. Record the first 6 digits immediately following the * symbol from that number series into the form below. (ex. card reads: *568933 10110110111-3, enter 568933 in the box below)

Name of Manager Submitting(Required)
Please choose the facility from the list below.
New Employee List(Required)
Please fill in the information below with the employee's information accurately. Click the little + at the end of the row to add more than one individual per form.
First Name
Last Name
Student ID
Staff ID
UBC ID Card 6 Digits*
 
If you have any other additional relevant details or if you know the specific group you want to put your individual(s) into, please put that below.