Campus Mcard Request and Change Forms with Instructions -            Mcard Photo Use Policy

            Ann Arbor Campus Form          Dearborn Campus Form           Flint Campus Form

Faculty, Staff, and others (non-students) not affiliated with the Health System can complete this form to request their first Mcard or if cardholder is transferred to new department.  It is generally not required for replacement Mcards (lost, stolen, expired, or personal name changes).   It is required for the replacement of expired cards for contractors, temporary employees, unpaid staff, vendors, and visitors.  Students and alumni do not need to complete this form.  Government photo ID (driver's license, state ID, or passport) will also be required at the time of Mcard issuance.  Please read form instructions for additional details.

University Health System ID Request and Change Form -           Mcard Photo Use Policy

Use this form if you are requesting a new or replacement University Health System Mcard and/or requesting door access to University Health System facilities.  This form is not required to replace damaged cards.  People who require access to the Health System and campus access control readers must obtain a Health System Mcard, which can be programmed to access both areas. Government photo ID (driver's license, state ID, or passport) will also be required at the time of Mcard issuance.  Please read form instructions for additional details.

Request for Deletion of Mcard Digitized Photo Form -                Mcard Photo Use Policy

Complete this form if you want to have your Mcard digitized photo deleted from the ID Card database.  The University recommends storing of your digitized photo for use in identification and security, ease of card re-issuance, for health and safety emergencies, and internal University business purposes (i.e., class rosters, seating charts, and business uses that may be approved in the future).  NOTE: if cardholders decline to have their photos stored and then their wallet/purse is lost or stolen with all photo ID, the ID Stations will require a government photo ID to issue a replacement Mcard.  Without proper photo identification, ID Stations cannot verify identity and no Mcard can be issued!

Request for Restoration of Mcard Digitized Photo Form -           Mcard Photo Use Policy

Use this form if you want to change your prior decision and have your Mcard digitized photo saved in the ID Card database for the purpose of identification, validation of building access, ease of card re-issuance, for health and safety emergencies, and internal University business purposes (i.e., class rosters, seating charts, and business uses that may be approved in the future).

Release of Mcard Digitized Image Form

Use this form if you want to obtain a digitized copy of your Mcard photo. A .jpg image can be sent as an email attachment for $5.00 or on either a floppy disk or CD-R through the U.S. mail for $10.00.  Please note: Mcard images have a small file size (10K-30K) and best suited for personal use such as personal Web sites.  These images may not be suitable for high quality printed materials or for photo enlargement.  All Mcard Photos contain a small white "Block M" in the lower left hand corner.  There are no refunds once the Mcard photo is released.