📝 Employee ID Badge Registration

Complete the form below to register for your digital employee badge

📌 Note: All fields are required unless marked as optional. You'll receive a confirmation email once submitted.

👤 Personal Information

First Name *

Last Name *

Email Address *

You'll receive confirmation at this address

Phone Number *

Date of Birth *

Department *

Job Role *

Upload Photo *

By registering for an Ability Plus employee ID badge, you agree to:

I have read and agree to the ID Badge Program Rules *

Cancel

Questions? Contact your program supervisor or HR department.