Technology: OneCard Office - Extended Campus OneCard Request Form

The Fitchburg State University OneCard Office offers an Extended Campus OneCard to Graduate and Continuing Education students who are unable to obtain a photo OneCard due to their course location. For security reasons, all students attending classes on the Fitchburg State University campus need a OneCard with a photo. The Extended Campus card is only available to individuals taking classes at remote locations. The Extended Campus card will be accepted as a valid student ID, however individuals are encouraged to have a photo OneCard taken whenever possible and may do so by visiting the OneCard Office located in the Anthony Building.

Please Note: Extended Campus OneCards are not available to Faculty and Staff or students taking classes on the Fitchburg State University campus.

Extended Campus OneCard Request Form * Required fields
*Last Name:
*First Name:
Middle Initial:
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone:
Business Phone:
*Email:
*Banner (Student) ID#: (This number can be found on your course confirmation receipt.)
*Status:	Part-time Full-time
OneCard Program Agreement - Terms and Conditions OneCard Program Agreement Terms and Conditions The Fitchburg State University OneCard identifies the cardholder as a student, faculty, staff or invited guest of the University. Upon receiving the card the individual agrees to the following terms and conditions: 1. Authorization for Personal Use Only Every student is required to have a valid Fitchburg State University OneCard (university identification). The OneCard is property of Fitchburg State University. Once an individual signs this agreement, s/he agrees to the Terms and Conditions identified herein. The authorized holder of the Fitchburg State University OneCard has the responsibility to follow the procedures described in this agreement. 2. Penalties for Unauthorized Use The Fitchburg State University OneCard shall not be loaned or otherwise transferred to another person. Any attempt to obtain or use, or to assist in obtaining or using, a Fitchburg State University OneCard for the purpose of fraud may be subject to campus disciplinary action. 3. Obligation to Report Lost or Stolen Card The cardholder is obligated to report a lost or stolen Fitchburg State University OneCard immediately. This report must be made to the OneCard Office during normal business hours, after hours please contact Fitchburg State University Campus Police. You will be held responsible for any use of your card until it is reported lost or stolen, at which time the card is declared inactive and a new card is issued. It may be necessary at certain times to communicate with the OneCard Office. Correspondence should be addressed to: Fitchburg State University OneCard Office 160 Pearl Street Fitchburg, MA 01420 4. Lost or Stolen Card Policy If a OneCard should be lost or stolen, the student shall be charged a $25.00 replacement fee. Lost or stolen cards are not subject to the one free replacement card per academic year policy. 5. Damaged Card Policy Currently enrolled students are eligible for one free card replacement per academic year if the damaged card is surrendered to the OneCard Office. All subsequent damaged card replacements will cost $15.00 as long as the card is surrendered. 6. Limit of Responsibilities The cardholder may have unlimited responsibility for unauthorized purchases. 7. Availability of Periodic Statements Upon the request of the cardholder, and with presentation of proper identification, information about the cardholder's account balance or transaction record is available at the Fitchburg State University OneCard Office. Statements can also be generated using the Online Card Office website. 8. Fitchburg Gold Account Balances and Receipts Only the cardholder's account balance will display on cash registers and certain machines accepting the Fitchburg State University OneCard for financial transactions. All other account balances can be accessed through the Online Card Office website. 9. Carry-Forward Balance Funds deposited to either the Fitchburg Gold or Falcon Dollar accounts will carry forward from semester to semester. However, Falcon Dollars are non-refundable. Dining Points do not carry forward from one semester to the next. Dining Points must be used during the semester they are purchased. 10. Fitchburg Gold Inactive Account Charges If a OneCard with a positive balance in Fitchburg Gold has sustained no activity for a period of 365 days or more, the account will be determined to be inactive and a monthly inactive account maintenance fee of $10 will be assessed against the account until the account is returned to active status or the account balance reaches $0. 11. No Interest Earned on Account No interest or other earnings will be paid to the cardholder or credited by Fitchburg State University to his or her Fitchburg State University OneCard account. 12. Refund Account Balance Refunds are available by written request to the Fitchburg State University OneCard Office when your relationship with Fitchburg State University is terminated (either through graduation, withdrawal, expulsion, or leaving employment). A refund request form must be completed and received by the Fitchburg State University OneCard office at the above address. A $25 account balance refund processing fee will be charged to the account. Refunds take 4-6 weeks. Cardholders with a balance of $25 or less in their account are encouraged to spend the balance on campus. 13. Door Access The Fitchburg State University OneCard can be used to operate certain campus security points such as doors much in the same manner as a key. The campus representative authorized to make decisions regarding the appropriate access for the card user approves the profile of each cardholder. A profile may be changed, without notice, by the Campus Card Office when it is deemed necessary or appropriate. 14. Library Card The Fitchburg State University OneCard operates as the Fitchburg State University Library Card for the Amelia V. Gallucci-Cirio Library. The barcode number on your Once Card is also your library barcode number. Privileges to take material out on loan from the library are granted to all Fitchburg State University students, staff and alumni. Borrowing privileges may be suspended due to excess fines or overdue materials. Other rules and limitations regarding the use of materials at the Amelia V. Gallucci-Cirio Library may be found at the following URL: http://www.fitchburgstate.edu/library. 15. Campus Vending The Fitchburg State University OneCard will allow access to almost all campus vending. If there is a problem with a vending machine using your OneCard, it is the responsibility of the cardholder to report the problem to the Fitchburg State University OneCard Office. Vandalism to any vending machine will result in the immediate denial of the cardholder's vending privileges and possible judicial action. 16. Meal Ticket The Fitchburg State University OneCard allows cardholders to participate in meal plans provided by Chartwells. Failure to present your OneCard at Holmes Dining Hall will result in denied admission to the dining hall. Under no circumstances will anyone be allowed to use Falcon Dollars or their meal exchange privilege at the Commuter Cafe without presenting the Fitchburg State University OneCard. By requesting and accepting your card you are agreeing to the OneCard Program Terms and Conditions. * Acceptance of Terms and Conditions