MetroCard Replacement Request

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This form is used to request or replace a MetroCard. Replacement may take up to a week or more depending on availability. You must wait for email instructions from Mr. Golden. If you would like a status update, you should email Mr. Golden (mgolden8@schools.nyc.gov). Please do not come to the main office for a MetroCard until requested.

Email *

Record my email address with my response

Name (Last Name, First Name) *

OSIS Number *

9 digit number (you can find this on your ID card or program)

Reason for request *

Replacement takes at least one week from the date you return replacement letter signed by parent/guardian

Lost

Stolen

Never received one

Other:

A copy of your responses will be emailed to .

Submit

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