Purchasing Card

Cardholder _________________________________________________________________________
Department ________________________________	Extension _______________________________
Department Administrator ______________________________________________________________
I hereby acknowledge receipt of the VISA purchasing card issued by US Bank Corporate Card Services and agree to comply with the Purchasing Card Program policies and procedures.
I further agree to only use the card for authorized University purchases and will not use the card for personal purchases nor loan the card to other persons. I understand the following items may NOT be purchased with the credit card.
Air conditioners/heaters (unless approved by Facilities) Audio/visual equip (unless approved by Ed Tech) Cash advances Computer hardware/software & related peripheral equipment (unless approved by UIS) Contracts for: individuals (e.g. consultants) maintenance public works or trades (including carpet installation, building alteration and/or renovation) Firearms or weapons	Furniture (unless approved by Business Services) Illegal drugs, narcotics or controlled substances Insurance Items for personal use Items that attach to buildings (e.g. window treatments, signs) Services of any type (e.g.transcription, equipment repair) Splitting purchases to circumvent the per transaction limit Real property purchases or leases Temporary employment agencies Items $1,000.00 or greater
As holder of this credit card, I agree to accept the responsibility for the protection and proper use of the card as stated in the Cardholder Responsibilities section of the Purchasing Card Manual. If the card is lost or stolen, I will report such occurrence to US Bank, my Department Administrator, Campus Public Safety, and Business Services. Upon receipt of the monthly bank statement, I will verify the accuracy of the charges and forward the statement along with supporting itemized receipts to my Department Administrator. If there is a disputed charge on the statement, I understand it is my obligation to contact US bank for resolution.
I further understand that my card privileges may be revoked for improper use of the card or non-adherence to the Purchasing Card policies and procedure. Should I terminate employment with the University, or change departments, I will return the card to the Department Administrator.
If the reconciled card statement is not returned to Business Services by the required date, the card balance will be charged to a department default account 1-______ - __________ - 7547. I understand that the past due reconciled card statement must still be returned to Business Services as soon as possible.
Cardholder Signature _________________________________________________ Date __________
Department Administrator Signature _______________________________________ Date_________

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