Biometric Credential Renewal Form
Complete this form to request renewal of a biometric credential. Provide accurate details so the renewal can be processed and delivered correctly.
Applicant Details
Full Legal Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Credential Renewal Information
Current Credential Type
*
Biometric ID Card
Biometric Access Badge
Biometric Residency Permit
Biometric Work Authorization
Other
Renewal Reason
*
Please Select
Expiring Soon
Lost Credential
Damaged Credential
Name Change
Information Update
Other
Credential Expiration Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred Renewal Completion Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Verification and Delivery Details
Preferred Verification Method
*
In-person appointment
Live video verification
Document upload review
Mobile app verification
Delivery Preference
*
Pick up in person
Secure mail delivery
Digital status updates only
Authorized representative pickup
Submit Renewal Request
Should be Empty: