UCBRC Retiree ID Card Request

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Please use this form to request a retiree ID card. We will send out a confirmation email when we mail your card.

Important: Retiree ID cards can only be processed for those already retired. Please request your card after your official retirement date.

Email *

First Name *

Last Name *

Street Address *

City, State & Zip Code *

What year did you (or your deceased spouse/partner) retire? *

What is your retiree affiliation? *

UC Berkeley Retiree

UC Berkeley Surviving Spouse or Partner

LBNL Retiree

LBNL Surviving Spouse or Partner

UCOP Retiree

UCOP Surviving Spouse or Partner

Required

Is there any additional information that we need to know regarding your retirement status/situation?

Thanks for filling out this ID request form! For a complete list of perks and discounts that come with having a retiree ID card, see this page. *

I understand that I can learn about how to use my retiree ID by clicking the link above.

A copy of your responses will be emailed to the address you provided.

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