Follow the steps to successfully complete your Penncard request form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In the first section, select the status of the PennCard recipient by checking the appropriate box for Associates, Guests, Temporary Staff, or other roles as applicable.
3. Provide an expiration date for Associates, Guests, Post Doctorates, and Temporary Staff, ensuring it does not exceed one year from the date of your application.
4. Fill in the budget code if applicable. If no code is provided, note that the recipient will need to pay a fee at the time of issuance.
5. Complete the recipient information section with the last name, first name, middle initial, university ID number, date of birth, and the department or affiliate information.
6. The TAC cardholder must sign and emboss the required section, providing their printed name, phone number, and date.
7. Once all sections are completed, review the form for accuracy. Save your changes, and prepare to print or download the form for submission.

Complete your Penncard request form online today for a seamless experience.