Family Member ID Card Request Form

This form is for Members and Visitors to request ID cards for family members for use on campus buildings and apartments.  Please submit this form after your arrival at IAS. 
Please enter card recipient's first name.
Please enter card recipient's your last name.
Please enter your name
Please upload a recent photo of the card recipient for use on their ID card.  We prefer a light colored background, with no sunglasses or hats. 
One file only.
Allowed types: jpg jpeg png pdf.
8 MB limit per file. The accumulated size of all files in this form cannot exceed 32 MB.
Please select the WHO-approved COVID-19 vaccine that you received. 
Please enter the date card recipient received their most recent COVID-19 vaccination dose. 
Please upload proof of card recipient's COVID-19 vaccination status. 

Acceptable proof of vaccination includes:

  • CDC COVID-19 Vaccine Card
  • WHO Vaccine Booklet
  • An official record of COVID-19 vaccination from A State immunization registry,  such as the New Jersey Immunization Information System (NJIIS)
  • A record of COVID-19 vaccination on office letterhead signed by a licensed physician, nurse practitioner, physician’s assistant, registered nurse or pharmacist.
  • A military immunization or health record from the United States Armed Forces documenting COVID-19 vaccination.
If they do not have one of these forms of proof available, please contact the IAS Covid Response Team at [email protected]. 

One file only.
Allowed types: jpg jpeg png pdf doc docx.
8 MB limit per file. The accumulated size of all files in this form cannot exceed 32 MB.
(Optional) If card recipient's proof of vaccination requires additional files (i.e., multiple pages, etc.), please upload here. 
One file only.
Allowed types: jpg jpeg png pdf doc docx.
8 MB limit per file. The accumulated size of all files in this form cannot exceed 32 MB.