Fingerprinting Coupon Codes Request Form

Requests can be made only by HR Representatives, VU Faculty or Staff who oversee programs and activities involving minors.

Only request the number of codes you will need to use in the next 30 days. The codes will expire.
Only one (1) person per code. They are for one-time use and are non-transferable.

Requesting Department or Service Program Name:

Requester's Name:

Requestor's Position/Title

Requester's Telephone Number:

Requestor's Email Address: *

Coupon Code will be used for an: *

Employee Student Volunteer

Please mark if they will be used for an Employee or Volunteer

Number of Codes Requested:

Anticipated date codes will start to be used:

Anticipated date that all codes will be used by:

Emergency
On-Campus: 94444
Off-Campus: 610-519-4444

Non-Emergency
610-519-6979 (option #1)

We are located at Garey Hall
at the intersection of Spring Mill Road and County Line Road

Text: NovaPubSafe
to 444-999
to download our V-Card