RCUH Form E-18
Created 08/20/2007 (Revised 03/11/2011, 06/21/2012, 11/04/2013, 06/08/2016, 08/01/2017)
Research Corporation
of the University of Hawai‘i
Human Resources Department
3.610 UH/RCUH Faculty/Staff Identification Card
UH-RCUH FACULTY/STAFF ID CARD APPLICATION FORM
PLEASE PRINT LEGIBLY
NAME: ______________________________________________________________________________________
Last First Middle Initial
UH NUMBER: ___ ___ ___ ___ - ___ ___ ___ ___ EMAIL: ____________________________________________
I certify that I will surrender my UH ID to the RCUH Human Resources Department upon separation from the
Research Corporation of the University of Hawai‘i.
____________________________________________ ________________________________________
Applicant’s Signature Date
RCUH Human Resources will review & certify your UH-RCUH Faculty/Staff ID card request. The completed/signed
request form will be emailed to you. You must then take the completed form to the ID Office on your respective
campus. Please be sure to bring a valid photo ID (driver's license, state ID, passport, etc.) in order to process your
UH-RCUH ID application form. UH-Hilo regular status employees will be required to pay $5.00 (cash). UH-Hilo and
UH-Manoa temporary staff will be required to pay $10.00 (cash).
The UH-RCUH ID card is valid for a maximum of 3 years for UH-Manoa or 2 years for UH-Hilo and must be
surrendered to the RCUH Human Resources Department upon separation of service. If you need to renew your ID
card, you will need to fill out another ID application form.
Any lost ID card will be replaced at a cost to the employee of $25.00 (UH-Manoa) or $10.00 (UH-Hilo).
Please sign application form and scan/email to rcuhhr@rcuh.com or fax to RCUH Human Resources at
(808) 956-9423.
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RCUH PERSONNEL REPRESENTATIVE USE ONLY
REGULAR – Core Staff (No Expiration) REGULAR
[No Charge UHM/$5.00 UHH] [No Charge UHM/$5.00 UHH]
TEMPORARY REPLACEMENT
[$10.00 UHM/$10.00 UHH] [$25.00 UHM/$10.00 UHH]
EXPIRATION DATE ____________________________
(Maximum: UH-Manoa - 3 Years or UH Hilo - 2 Years)
I certify that the Research Corporation of the University of Hawai‘i (RCUH) employs the above named
individual.
_________________________________________________ ________________________________
RCUH Personnel Representative (Signature) Date
_________________________________________________ ________________________________
RCUH Personnel Representative (Print Name) Phone #
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