Duck Bucks Card Request

UO-Affiliated and non-UO-affiliated customers use this service to request pre-loaded Duck Bucks cards

Note: This form is NOT for student use.

Title

A short description to explain the nature of a ticket.

Department

Department Index

Contact Name

Contact Phone and Extension

How Many Cards?

Amount of initial deposit per card

Authorized Person to Pickup

Note: If a department index is not included, you will be contacted to arrange payment prior to cards being printed.

When would you like to pick up the cards

Provide a date range when you would like to pick up the cards.

Date(s) that the cards will be used

Provide the date range of when the cards will be in use.

Description

The full details of a ticket, including any appropriate circumstances or supplementary information that may aid in resolving it.

Attachment

File attachments associated with the ticket.

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Other Fields

Your name

Your email address

Verification Code