2. First Name*
3. Last Name*
5. Wisconsin State Bar Number*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Note:
    $25 application fee must be paid before Photo Pass can be processed. You may print off application or provide a phone number and we will contact you regarding payment. Once application is received and payment made, information will be forwarded to Court Security. Photos can be taken during regular business hours, Monday through Friday, 8 am to 5 pm.
16. Phone number*
    Phone number to call during regular business hours for credit card information.
20. To be completed by Ozaukee County Sheriff's Department
22. New ID Card: _____ Issue Date: _____________
24. Replacement ID Card: _____ Issue Date: _____________
26. Issued By:
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field