c) An identification card shall only be issued by the Department in the name of the committed youth exactly as shown on the committing court documents.

1. 1) To receive an identification card the committed youth shall submit a written request to his or her counselor no later than five days prior to his or her release, whenever possible, including:

   1. A) A copy of his or her social security card and a certified copy of his or her birth certificate; and
   2. B) An authorization for payment of the $1.00 fee from the committed youth's trust fund account.
2. 2) If the name on the birth certificate does not agree with the name on the committing court documents and social security card, the committed person shall also present an official copy of a marriage license or other court documents that authorize a legal name change to the name shown on both the committing court documents and social security card.

d) The Temporary Identification Card, distinctively labeled "Released Youth Identification" on both sides of the card, shall include:

1. 1) The name of the Department.
2. 2) A photograph of the committed youth taken within five working days prior to his or her release.
3. 3) The name under which the released youth was incarcerated.
4. 4) The name of the correctional facility from which the committed youth was released.
5. 5) The date of issue.
6. 6) The expiration date that shall be 30 days from the date of issue.
7. 7) The status of release, that is, aftercare release, discharge, or pardon.
8. 8) The released youth's signature.
9. 9) The released youth's date of birth, sex, and physical description, including height, weight, hair color, and eye color.
10. 10) The disclaimer statement per Section 2470.50(e).