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Below are forms available for BruinCard holders

These forms provide access to service for BruinCard holders. If you are looking for departmental services, review the UCLA Department Forms Page.

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Payroll Deductions

Enroll, adjust or cancel your payroll deduction, where funds are automatically deducted from your paycheck into your BruinCard.

Access Form

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Refund Request

Those who have separated from the University may request a refund of remaining BruinCard funds from a personal deposit.

Access Form

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Product and Service Fee List

View the BruinCard office’s current fees for card and campus services.

Access Form

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BruinCard Door Pin Update

For employees who use keypad access for specific BruinCard doors. For a first-time PIN please contact us.

Access Form

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Terms & Conditions

Policy for BruinCard use and services that all cardholders agree to upon receipt of card.

Access Form

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BruinCard Image Policy

Policy for BruinCard image use and services that all cardholders agree to upon photo submission.

Access Form