Badge Replacement Request Form
If you have any trouble completing or submitting the form, please contact 701-857-4429.
Use formal name, as listed on your paycheck - no nicknames.
email address only. Please type your entire email address.
What is your home school or building?
Lewis & Clark
Magic City Campus
Souris River Campus
Why do you need a new badge?
Not working on Time Clock
Not working for Door Access
Broken or Damaged
I understand that I will be notified by email when this badge is ready for pickup. The notice will be sent to my
Type your name in the space below and select "click to digitally sign".
Click to Digitally Sign
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This form was created inside of Minot Public Schools.
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