UCLA Health System Photo ID Application Form
The UCLA Health System Photo ID Application Form is essential for new employees, re-hires, and department transfers. This document guides you through securing an ID badge required for access to designated areas. Follow the instructions carefully to ensure proper submission.
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How do I fill this out?
Filling out the UCLA Health System Photo ID Application Form is straightforward. Start by carefully reading all instructions on the form. Make sure to provide all required fields without leaving any sections incomplete.
How to fill out the UCLA Health System Photo ID Application Form?
1
Read all instructions and guidelines provided.
2
Fill in all required fields accurately.
3
Provide valid identification as required.
4
Submit any necessary payment for lost or damaged IDs.
5
Ensure the form is printed on one page, double-sided without staples.
Who needs the UCLA Health System Photo ID Application Form?
1
New employees need this form to obtain their ID badge.
2
Re-hired individuals must fill out this application to reissue their ID.
3
Department transfers require a new ID badge that reflects their new title.
4
Students applying for prox access must submit this form.
5
Affiliates of UCLA also need this form to obtain proper identification.
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What are the instructions for submitting this form?
To submit the UCLA Health System Photo ID Application Form, please follow these steps: send the completed form via email to the Photo ID Office at photoidoffice@ucla.edu. Alternatively, the form can be delivered in person to the nearest Photo ID Office located at 10833 LeConte Ave., Room B8-153. For lost or replacement ID requests, remember to bring your payment receipt from the Main Cashier at Ronald Reagan UCLA Medical Center.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, please refer to the UCLA Health System's official announcements for any specific deadlines relevant to ID applications.
What is the purpose of this form?
The purpose of the UCLA Health System Photo ID Application Form is to provide a streamlined process for obtaining photo ID badges for employees and affiliates. It ensures that only authorized individuals access secure areas within the healthcare system. This form also establishes a clear record of identification, crucial for safety and operational integrity.
Tell me about this form and its components and fields line-by-line.
- 1. Last Name: The applicant's last name.
- 2. First Name: The applicant's first name.
- 3. Professional License/Degree: Any relevant professional qualifications the applicant may hold.
- 4. Title: The current title of the applicant at UCLA.
- 5. Department: Department where the applicant is affiliated.
- 6. ID Number: The identification number assigned to the applicant.
- 7. Address: The street address provided by the applicant.
- 8. Phone Number: Contact phone number for the applicant.
- 9. Signature: The applicant's signature confirming the information is accurate.
What happens if I fail to submit this form?
If the application form is not submitted, the individual will not receive their Photo ID badge. Without a valid ID badge, access to secure areas will be restricted. This can impact their ability to perform required duties within the UCLA Health System.
- Access Restriction: Failure to submit can lead to denial of access to necessary areas.
- Professional Limitations: Not having an ID badge may hinder job responsibilities.
- Inability to Complete Hiring Process: New hires without ID badges cannot officially join the staff.
How do I know when to use this form?
- 1. New Employee ID Badge: For newly hired employees needing a photo ID.
- 2. Replacement Badge: Any existing employee needing a replacement for a lost or damaged ID.
- 3. Access Card Upgrade: Applicable for those upgrading to a prox access card.
Frequently Asked Questions
What identification do I need for this application?
You need a valid photo ID such as a Driver's License, Passport, or Military ID to complete this application.
How do I submit the form?
You can submit the form via email or in person at the designated photo ID office at UCLA.
What is the fee for a lost or stolen ID?
There is a fee of $23.50 for lost or stolen ID badges.
Can I apply for a new photo ID badge if mine is damaged?
Yes, a fee of $7.50 is required for damaged ID badges.
What should I do if the form is incomplete?
Incomplete applications will not be accepted, so ensure all sections are filled out.
Where can I find help if I have questions about the application?
Contact the Photo ID Office for assistance with any questions regarding the application process.
What happens after I submit the application?
After submission, the ID office will process your request and inform you when your ID is ready for pickup.
Is there any specific format for printing the application?
The application must be printed double-sided on one page without staples.
How long does it take to receive my ID badge?
Processing times may vary, but typically you should receive your badge within a few days of application approval.
Can I apply for multiple badges at once?
No, only one ID badge per person can be issued at a time.
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