District Attorney ID Card Request for Law Enforcement

2. Card Access ID #

4. Are you requesting a New or Replacement Card?*
   -- Select One --NewReplacement

5. Why do you need a replacement?*

7. Name of Supervisor approving this request*

9. ID Type Requested*
   -- Select One --InvestigatorDrug Task ForceOther

11. Full Name*

12. Date of Birth*

14. Shield # or Employee #

15. Position or Rank*

17. Height*

18. Weight*

19. Blood Type

21. Hair Color*

22. Eye Color*

24. Medical Allergies

    List any and all medical allergies.

26. Any other important info to be included on the card

28. Take a picture of yourself from the shoulders up against a white wall

    We can assist with your photograph as well, but including it with your submission will result in your ID Card being produced more quickly.

29. Replacement ID
    New photograph is not mandatory if your are requesting a replacement ID Card.

    New photograph is not mandatory if your are requesting a replacement ID Card.

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

* indicates a required field