Wisconsin Broadcaster
Emergency Personnel ID Card Program

To complete the Individual Station Agreement and ID Card request form, download the below PDF form.  Please complete the PDF form fields using your computer. Handwritten forms are discouraged. After completing the required information, print form and have the Station Manager sign it.  Then, mail completed form to:

Linda Baun
Wisconsin Broadcasters Association
44 East Mifflin Street, Suite 900
Madison, WI  53703

• Download Broadcaster ID Request Form

Note that the form above is a special PDF form that allows you to type your information directly into the form, and then print it for mailing to WBA. Please use this method, to keep your information legible for WBA use. You will not be able to “Save” this form with your typed-in information in it; you can only print the form.