Library Card Update Form

Information about Library Privileges

Please allow 24 hours to process your updated information. If you have any questions, please contact the Library's Information Desks by phone at 214.648.2001 or send an email to InfoDesk@utsouthwestern.edu.

* Required fields

*Reason for Changes

Address Change	Lost Card/New ID
Status Change	Other:

About You

*Last Name:
*First Name:
Middle Initial:
Person Number:
Badge Barcode:
Library Password:
*Affiliation:
*Status:
Graduation/Departure Date:	(MM/DD/YY)
*Email:
Receive Library Email Newsletter Twice Monthly :

Home Address

*Street:
*City:
*State:
*Zip Code:
*Phone:

Interdepartmental / Business Address

Department:
Division/Center:
Bldg/Room No:
Mail Code:
Student Mailbox:

Address1:
Address2:
City:
State:
Zip Code:

Phone: Pager: Fax:

Card Delivery / Contact Method

Card Delivery:	(Note: Please present a valid campus ID during pick up)
Preferred Contact:

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