Card Office Authorization Form
Page
1
of
3
. You are
34%
complete.
UA ID #:
(Required)
First Name:
(Required)
Last Name
(Required)
UARK Email Address
(Required)
Semester
(Required)
Fall
Spring
Summer
Year
(Required)
2025
2026
2027
Reason for issuance:
(Required)
New ($25)
Replacement ($25)
Confiscated ($25)
Electronic Agreement
(Required)
By checking this box, I agree to have my account charged for the amount selected above.
Todays Date
(Required)
Next