R'Card Request Form for Staff, Faculty and Postdocs

Indicates required field

This is a request only. Only applicants who are active in UC Path with an official start date that has passed will be approved to receive this service. Approval of your photo and identity credential in My Photo are also required.

Applicant Name

Legal First

Middle

Last

Lived/Preferred Name

If you provide a Lived/Preferred name, we will print this on your R’Card instead of your legal first name.

UCR Email

Phone

Employee ID Number

Your EIN can be found in your Dashboard on the UCPath website: ucpath.universityofcalifornia.edu.

Employee Start Date

Status

Building Where Employee Works

Credential Needed?

Select Method of Payment

We accept MasterCard, Visa and Discover only.

Pickup at Highlander Service Station

Map to our location

Cashnet Link: https://commerce.cashnet.com/UCR_CARDSERVICES

Cashnet Receipt Number

Select Method of Delivery

Map to our location at the Highlander Service Station.

Mailing Address

First

Last

Mailing Address Line 1

Mailing Address Line 2

City

State

Zip Code

Campus Address

First

Last

Building

Room

Please submit all items (e.g., form, payment, and photo) within 30 days of this request or your request will be deleted.

Card Services

R'Card Request Form for Staff, Faculty and Postdocs

UCR Card Services