BADGE/CARD TEST REQUEST FORM
A sample of badge/card must be included with this form. Please ensure the badge/card provided is pro- grammed specifically for your location.
Contact Info – Who is responsible for maintaining badge/card records?
| Name: | Title: | |||
|---|---|---|---|---|
| Email: | Phone: | |||
| Address: | City: | |||
| State: | Zip: |
Badge/Card Technology – What type of technology is used in this facility?
| Does the facility use more than one technology? | |
|---|---|
| If Yes, how many different technologies are used? |
Circle all that apply
| HID | HID iClass | MiFare | DESFire | Other: | |
|---|---|---|---|---|---|
Programmed Format – How are the badges/cards in your facility programmed?
On the badge/card provided, what number do we need to read:
Total Bits:
| First Parity Check (p) | |
|---|---|
| Second Parity Check (p) |
| Even Parity Check (e) | Start Bit | |
|---|---|---|
| Length | ||
| Odd Parity Check (o) | Start Bit | |
| Length | ||
| CID(c) | Start Bit | |
| Length | ||
| Facility Code (f) | Start Bit | |
| Length | ||
| Site codes (s) | Start Bit | |
| Length | ||
| Manufacturer Code (m) | Start Bit | |
| Length | ||
| Card Check Format | ||
| Parity Check Format | ||
| Assigned Facility Code (if applicable) |