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Physical ID Card Fee Waiver
Physical ID Card Fee Waiver
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This form is used to submit an appeal for the fee imposed when seeking a replacement Physical ID Card.
NOTE:
If you are logged in, this section will have Requestor, Contact, and Purdue Building and Room fields listed. If those fields are not listed,
please login using the "Sign in" link in the upper right
. If you do not have an account, please be sure to provide your contact details at the bottom of the form.
Title
A short description to explain the nature of a ticket.
Physical ID Card Fee Waiver
Reason for the need for a physical ID card
Reason for the need for a physical ID card
Mobile Device Not Compatible
Building/Door is not Mobile Compatible
Device Type
Device Type
Apple/IOS
Samsung
Google
Motorola
Xiaomi
Oppo
Vivo
OnePlus
Realme
Other
You selected other. Please explain.
Device Model
Pixel 9 Pro Fold, Pixel 9 Pro, Pixel 9 (2024
Pixel 8 Pro, Pixel 8 (2023)
Pixel 7 Pro, Pixel 7, Pixel 7a (20222023)
Pixel 6 Pro, Pixel 6, Pixel 6a (20212022
Pixel 5, Pixel 5a (20202021)
Pixel 4, Pixel 4 XL, Pixel 4a, Pixel 4a 5G (20192020)
Pixel 3, Pixel 3 XL, Pixel 3a, Pixel 3a XL (20182019)
Pixel 2, Pixel 2 XL (2017)
Pixel, Pixel XL (2016)
Moto G Play (2024, 2023, 2021)
Moto G 5G (2024, 2022)
Moto G Power (2023, 2022, 2021)
Moto G Stylus (2024, 2023, 5G editions)
Moto G Pure (2023, 2021)
Moto Edge+ (2024, 2022, 2020)
Moto Edge 40, Edge 40 Pro, Edge 40 Neo (2023)
Moto Edge 30, Edge 30 Ultra, Edge 30 Fusion, Edge 30 Neo (2022)
Motorola One 5G Ace (2021)
Motorola One 5G (2020)
Motorola One Fusion+, One Fusion (2020)
Motorola One Action, One Vision (2019)
Galaxy S24 Ultra, S24+, S24 (2024)
Galaxy S23 Ultra, S23+, S23 (2023)
Galaxy S22 Ultra, S22+, S22 (2022)
Galaxy S21 Ultra, S21+, S21, S21 FE (2021)
Galaxy S20 Ultra, S20+, S20, S20 FE (2020)
Galaxy S10+, S10, S10e (2019)
Galaxy Z Fold6, Z Flip6 (2024)
Galaxy Z Fold5, Z Flip5 (2023)
Galaxy Z Fold4, Z Flip4 (2022)
Galaxy Z Fold3, Z Flip3 (2021)
Galaxy A54 5G, A34 5G (2023)
Galaxy A53 5G, A33 5G (2022)
Galaxy A52, A52s 5G (2021)
Galaxy A71, A51 (2020)
Galaxy Note20 Ultra, Note20 (2020)
Galaxy Note10+, Note10 (2019)
Other
You selected other. Please provide your device model information.
Reason
Access required for
Access required for
Registered Class/Lab
Employment
Student Organization
Other
Please explain why you need access
Attachment
File attachments associated with the ticket.
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Other Fields
Your name
Your first name
Your last name
Your email address
Your phone number
Verification Code