Request Form - SSC - HR - Recruiting and Employment

Important Notice: Any requests submitted through this form will be printed at the Shared Services Center (SSC), located 4 miles south of campus.

All requests require an appointment for pick-up; cards cannot be collected without a scheduled time. After you submit your request, we will follow up with available appointment times.

If you prefer walk-in service, please visit one of our other MCard Issuing Stations.

The SSC cannot print MCards for Michigan Medicine. If you need access to a Michigan Medicine facility, please have an authorized signer submit a request through the Michigan Medicine MCard Request Form.

For questions regarding the information requested below or the pick-up process, please contact the Shared Services Center at sharedservices@umich.edu or 734-615-2000.

If you have any questions on any of the information requested below please contact the Shared Services Center at sharedservices@umich.edu or 734-615-2000.

Have you ever had an MCard?

UM Affiliation

MCard Request Type

Date of Birth

Gender

Please provide your preferred gender

Uniqname (if known)

UM Email Address

UM 8-Digit Identification Number (if known)

UM Hiring Manager

UM Department Name and Number (if applicable)

UM Department Contact Name and Phone Number (for additional information, if required)

How would you like to receive your replacement MCard?

By selecting this option you agree to cut up and dispose of your current MCard. Please note, once your replacement card is printed, your expired Mcard will automatically deactivate and you will not have building access until the new card is received.

I acknowledge that by selecting to have my new MCard mailed to me my existing MCard will automatically be deactivated and I will not have building access until the new card is received.

Yes

What is your mailing address?

Printing a new MCard as a result of this request will automatically deactivate your current MCard. Would you like to wait to have your card printed until your scheduled pick-up appointment?

If you have never had an MCard or your MCard photo is more than 5 years old, please attach a recent color photo (headshot only) to be printed on your Mcard. Please submit in .jpg format

File attachments associated with the request.

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Additional Comments

The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Middle Name

Your name

Your email address

Verification Code

SSC - HR - Recruiting and Employment - MCard Request

If you have any questions on any of the information requested below please contact the Shared Services Center at sharedservices@umich.edu or 734-615-2000.

Other Fields