Forms for Cardholders

The form required for all first time cardholders to obtain a BruinCard.

The form to authorize direct deposit funds from your payroll check to your BruinCard Easy Pay account.

The authorization to deposit financial aid credits on BAR to your BruinCard Easy Pay account.

The form required to request to close your BruinCard debit account and request a refund of any remaining balance.

Forms for UCLA Departments

The form for UCLA departments to request a BruinCard for visiting guests who are on campus but not officially registered students or staff members on the University payroll, but who require a BruinCard for access to services. There must be a 6 months minimum UCLA affiliated status for a card to be issued.

The form for UCLA departments requesting to deposit funds on UCLA employee and/or student BruinCards for awards, human subject payments, years of service, etc.

The policy regarding BruinCard image usage. Email bruincard@ucla.edu to obtain form.

The form for UCLA departments and Information Brokers requesting for a Copy BruinCard to be used for business copying and printing at campus libraries.

The form for bulk meal card orders. Departments hosting a visiting group can purchase limited-use meal cards to be used for a restricted time.