ALL Steps Must Be Completed in Order
1. Download and complete the form located at the following link: Photo ID Application
The proper procedure is for the sponsoring department to request a guest BruinCard online by completing the Affiliate/Guest Request Form available at www.bruincard.ucla.edu (click on "Forms" on the left menu, then "Affiliate/Guest Request Form").
Here is a screen shot of the form:
Please complete all fields including the following:
Contact Information (the requestor should fill in their information)
Department Head (Department Chair, CAO, Director’s information)
Affiliate Information (Please complete fully with information of guest/affiliate)
Select "New Card"
Type of Affiliation - make selection based on type of guest
Type of Card - choose "Healthcare Badge" for all UCLA Health System, DGSOM, Semel, SOPH, SOD, and SON.
Complete name, date of birth, sex, email address, home address, dates of visit (eligible for badge if on-site for 4 weeks or longer).
Complete brief nature of affiliation and intended use (could include visiting student, vendor, contractor, voluteer, etc. With intended use to include need for photo identification to patients/visitors, building access, etc).
Click on the "Add Another" to add multiple guests/affiliates for a single requestor/sponsoring department at one time
Admin Fee FAU (will begin for Health Sciences on July 1, 2013).
The cost to produce a BruinCard for non-UCLA student, staff, and faculty is $7.50 per card. Please provide the appropriate financial account unit for processing.
Check the box confirming the FAU is valid.
The process will generate an auto-confirmation upon receipt of the form and notify the department the UID assigned and when the guest can submit a photo on-line or come take a photo and pick up the card/badge (at this point, the guest record is in the BruinCard system already).
Sponsoring Department Procedure for Guest/Affiliate Photo ID Process