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
Device Type
Device Type
Access required for
Access required for
File attachments associated with the ticket.
Browse...

Other Fields

Your name
Verification Code