Form

Full Name*

Employee or Student ID*

Department/School*

Email*

Card Number*

Is your badge a horizontal university badge?*Yes
No

Is your badge expired? (date appears in lower right corner of badge)*Yes
No

Do you have multiple badges in the same plastic holder?*Yes
No

Have you recently changed departments or status on campus?*Yes
No

Were you riding a two-wheeled vehicle (or on foot) when you presented your badge?*Yes
No

Do you have more than one access card in the same plastic holder or on the same lanyard or retractor?*Yes
No

Is there any damage to your badge, i.e. holes, cracks, warping?*Yes
No

When you last successfully entered/exited a gate, was the gate already in an “up” position when you approached, continuing to be so after you drove past?Yes
No

When you last successfully entered/exited a gate, did you or someone else use a badge other than your own to do so?Yes
No

When you last successfully entered/exited a gate, did you or someone else manually raise the gate to do so?Yes
No

When you last successfully entered/exited a gate, did you hesitate before driving past once the gate was raised?Yes
No

Phone Number

Where did you unsuccessfully present your badge? (list gate or building and door/elevator door)

If access was denied at an elevator door, did you present your badge before or after selecting your desired floor?

Was the card-reader light flashing red and green before you presented your badge?Yes
No

Does the card reader beep after you presented your badge?Yes
No

Does the card reader light change color after you present your badge? If so, does it remain green or flash green and then red?

Do you hear an audible click (unlock) of the door after presenting your badge?Yes
No

Did more than 5 seconds pass between badge presentation and attempted entry?Yes
No

Has your badge previously allowed access to the door/area at which you are currently being denied access? If so, when last?

Does your badge work at any other university card readers?Yes
No

Have you witnessed anyone else currently having a problem accessing this door/area?Yes
No

Police Department

Report a Badge or Reader Problem