BuzzCard Home
: Download Forms
Download BuzzCard FormsDepending
on the services you wish to include with your BuzzCard, you may be required
to complete and submit various forms. All forms are available at the BuzzCard
Center during normal business hours. Many forms are available here for download
online.
In order to view and print a form, you will need the
Adobe Acrobat PDF viewer installed on your computer. The
Adobe Acrobat PDF Viewer is availabe free of charge from the Adobe Web
Site.*
*This information is provided as a courtesy, and does
not imply a partnership or agreement with the Adobe Corporation.
Download List
(Updated: March 15, 2007. 10:57 am)
| File Name |
File Details |
Account Refund Request Form 4133KB PDF file, updated July 18, 2007, 1:21 pm) [ Download Now ]
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This form is used when you are leaving Georgia Tech (graduation, withdrawal, or termination of employment) and you need to close your BuzzCard Account hile funds are still available. Please note that there normally is not cash "withdrawal" from a BuzzCard Account. A withdrawal of funds is only available for individuals who are closing their BuzzCard Debit Accounts because they are leaving Georgia Tech.
Print out two copies
Fill out both copies and submit one copy with your deposit to the BuzzCard Center or Bursar's Office. Keep the second copy for your records.
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Action Request and Agreement Form 3066KB PDF file, updated August 6, 2007, 7:46 am) [ Download Now ]
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This form needs to be read and filled out when you get your first BuzzCard, or when requesting a replacement BuzzCard. If you have lost your copy of the Agreement form, you can download it for your records
Print out two copies*
Fill out both copies and submit one copy to the BuzzCard Center located in the Student Center Commons. Keep the second copy for your records.
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BuzzCard Departmental Card Production Form 115KB PDF file, updated March 15, 2007, 11:07 am) [ Download Now ]
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This form is used by departments wishing to open departmental accounts. All accounts must be approved by the Controller's Office.
Print out this form
Fill out completely and submit to the Controller's Office. Be sure to keep the second copy for your records. Signature and billing information is required. If existing cards are to be used, be sure to note card numbers on the form.
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BuzzCard Proximity Card Production Form 3277KB PDF file, updated July 3, 2007, 2:38 pm) [ Download Now ]
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This form is used by departments wishing to order Proximity Cards for students, faculty, staff, and affiliates.
Print out two copies
Fill out both copies and submit one copy to the BuzzCard Center. Keep the second copy for your records. Signature and billing information is required.
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Debit Account Deposit Form 503KB PDF file, updated March 15, 2007, 11:07 am) [ Download Now ]
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This form is used when making deposits to your BuzzCard Debit Account at the BuzzCard Center or Bursars Office (Bursar's Office Does Not Accept Credit Cards). This form does not need to be used when making deposits at a Value Transfer Station (VTS) or online. For more information about the BuzzCard Debit Account, please visit the Debit Account Pages
Print out two copies
Fill out both copies and submit one copy with your deposit to the BuzzCard Center or Bursar's Office. Keep the second copy for your records.
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Meal Plan Change Form 775KB PDF file, updated March 15, 2007, 11:07 am) [ Download Now ]
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If you would like to change your existing meal plan, you must fill out a Meal Plan Change form for the appropriate academic session and submit it to the BuzzCard Center. For more information about Campus Meal Plans including applicable deadlines and fees, please visit the Meal Plan Pages.
Print out two copies
Fill out both copies and submit one copy with any balance due to the BuzzCard Center. Keep the second copy for your records.
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