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Get FL Badge Credential Application 2017-2024

(Excluding Holidays) Phone: (321) 783-7831 ext. 472 Email: portbadging@bcso.us SECTION I RENEWAL LOST APPLICANT INFORMATION (To be completed by applicant) LAST NAME FIRST NAME DATE OF BIRTH HEIGHT WEIGHT MIDDLE INITIAL PLACE OF BIRTH SSN: APPLICANT’S TELEPHONE NUMBER HAIR COLOR EYE COLOR GENDER RACE ☐ Male ☐ Female PERMANENT HOME ADDRESS CITY STATE DRIVERS LICENSE NUMBER STATE OF ISSUE CITIZENSHIP (Non-US Citizens must provide original card at time of processing) ☐ U.

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