Departmental Image Request Form
The purpose of this document is to formally request the release of a WPU campus card ID photo into your and/or your departments possession.

Please complete the form below and a representative of the Hospitality Services Campus Card team will review your request and provide you a confirmation within 24 business hours.

If more than one image is being requested, please contact Clint Voltman, voltmanc@wpunj.edu directly.
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The ID photo that I am requesting belongs to a: *
First Name (of ID photo being requested): *
Last Name (of ID photo being requested): *
WP Banner ID number (855 of ID photo being requested): *
What is the intended purpose(s) of the image being requested? *
I understand the restrictions for use of the image that I am requesting and agree to conform to the University’s rules on privacy. I also understand that the image is the property of William Paterson University ID Center and Hospitality Services, that it is intended for internal use only and that it cannot be copied or distributed. Data and digitized images from this database cannot be sold. I understand that use of this image and data in any way other than that expressed in the document may be cause for disciplinary action by the University. *
Required
First name (of requester) *
Last name (of requester) *
Department (of requester) *
Job Title (of requester) *
Banner ID (of requester) *
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