Forms

Depending 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 downloading.

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 available free of charge from the Adobe Web site.*

Account Refund Request Form

4133KB PDF file, updated July 18, 2007, 1:21 pm

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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.
Please note: Refund requests can take up to 30 days to process.

Print out two copies
Fill out both copies and submit one copy to the BuzzCard Center. Keep the second copy for your records.

BuzzCard Request - Terms and Conditions Form

453KB PDF file, updated July 20, 2012, 10:20 am

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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 BuzzCard Request and Agreement form, you can download it for your records

Print out one copy.
Fill out and submit one copy to the BuzzCard Center.

BuzzCard Order Form Magnetic Stripe Cards for Summer Camps and Special Programs

N/A, Updated April 8, 2013, 12:28 PM

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This form is used to order magnetic stripe Georgia Institute of Technology cards for Institute Summer camp and Special Program Participants. This form cannot be used for duo-proximity card orders.

Request to Establish Departmental BuzzCard Charge Privileges

141KB PDF file, updated July 13, 2012, 9:07 am

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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.

BuzzCard Production Form

203KB PDF file, updated August 20, 2012, 07:30 am

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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.

Debit Account Deposit Form

503KB PDF file, updated March 15, 2007, 11:07 am

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This form is used when making deposits to your BuzzCard Debit Account at the BuzzCard Center or Bursar's 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.

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.

Photo Session Order Form

80K, updated October 08, 2012, 11:30 am

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The BuzzCard Center offers in-house digital photography (Passports and Headshots) to the entire GT Campus Community. Passport sessions are $12 and include two printed passport photos (no digital or emailed proofs). Headshot studio sessions are offered at $50. Proofs are provided digitally to the customer (with print rights) on a thumb drive or other comparable storage device (included in session fee), and a digital proof is emailed to the funding department when applicable. Customers may utilize the services of private photo labs to order prints.

Meal Plan Order Form for Special Programs and Conference Services

N/A, Updated December 10, 2012, 12:28 PM

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Departments use this form to order meal plans for guests. Sponsoring departments must assign gtID’s to program participants prior to application for BuzzCards and/or meal plans. Plans expire at the end of normal academic terms; special effective end dates cannot be accommodated.

Meal Plan Change Form

N/A, updated July 20, 2012, 11:30 am

[ No Longer Available ]

If you would like to change your existing meal plan, you must use the online meal plan application located at http://apply.mealplan.gatech.edu. For more information about campus meal plans, including applicable deadlines and fees, please visit the Meal Plan pages.

* This information is provided as a courtesy and does not imply a partnership or agreement with the Adobe Corporation.