CTC OneCard
Replacement Request
Students with an active HigherOne account should use www.CTCOneCard.com
to request a new card.
Fee: $10.00 per replacement card - non-refundable
Student Name:
_____________________________________________________________
Student ID#:
900_____________________
Reason for replacement:
_______
Card Lost
_______
Card Stolen
_______
Card Never Received
_______
Other: ____________________________
Student Address:
_________________________________________
_________________________________________
Student Phone:
__________________________
Please allow ten business days to receive your card. The status of your card may be checked using
the “Where’s My Card?” link at www.CTCOneCard.com.
THE ABOVE INFORMATION ONLY UPDATES YOUR CTC ONECARD INFORMATION.
Address corrections to your student record must be done with a Student Affairs’ Office.
Student Signature:
_______________________________________________________________
Date of Request:
____________________________
FOR OFFICE USE ONLY
Banner Receipt # _________________ Date: ________________ Initials: _________
New Card Ordered: ________________________
An Equal Opportunity Institution
Initials: ___________