Replacement/New ID Request

   
  Type of Request: 
New ID Card Replacement ID Card
  Lanyard Needed: Yes No
   
  Check One:  
Staff Member  Student
Contact Information:
  Name:   
  Building :        
  For ACHS Students - Grade:    Student ID# :   Homeroom #:    
  ID Requested by:
  Staff Members Email Address:  
   

Please allow 1 week to receive replacement, new photos will be taken on an as needed basis and times for new photo identification cards will be determined based on the number of requests.

COSTS: Replacement ID: $3.00  Replacement Lanyards: $2.00, No replacement IDs will be issued without payment. Please make checks payable to the "Roselle Board of Education"

Pressing the submit button will automatically send your information to the Technology Department help desk.  Only press submit when the form is complete. If you want to print a copy for your records, print the page that appears after you press submit.