Request a new NHSOA Badge

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Members of NHSOA are eligible to request a new badge at no cost. This should only be used for lost, stolen, misplaced, or when a badge becomes not presentable.

Please do not request a new badge if you already have a badge in your possession that is presentable.

Email *

First Name *

Last Name *

Mailing Address (# & Street) *

City *

State *

Zip Code *

What level badge are you requesting?

Level 2 (Orange Badge)

Level 3 (White Badge)

Clear selection

I understand that I am requesting this badge because I have had my had badge become lost, stolen, misplaced, or it is no longer presentable. *

Yes, I understand

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