Louisiana State University
Office of Accounting Services
Accounts Payable & Travel
217 Thomas Boyd Hall
CENTRALLY BILLED ACCOUNT ENROLLMENT & AGREEMENT AS800
Request Date ________________________
Participation Agreement
Participation in the Central Billed Account (CBA) program is a convenience and a privilege. The CBA is University
property and must be used with good judgment and in accordance with all University procurement and travel
requirements.
1. The CBA is provided to departments to purchase airline tickets and pay for conference registrations. The CBA may
be revoked at any time based on change of assignment or location. The CBA is neither an entitlement nor
reflective of title or position. The CBA may not be used for purchases to be paid by private sources, including
those that must be paid directly by the LSU Foundation.
2. The CBA should be used for business-related purchases only - personal charges are expressly prohibited.
3. The CBA Primary Authorizer is responsible for all charges made against the card.
4. Improper use of the CBA may be considered misappropriation of University funds which may result in disciplinary
action - up to and including termination.
5. All charges are billed directly to and paid by the University. Personal charges on the CBA will be considered
misappropriation of University funds.
6. The CBA Primary Authorizer must comply with internal procedures in order to protect University assets. This
includes retaining receipts, reconciling weekly transactions sent via the Notification box in Workday, resolving any
discrepancies by contacting the supplier and the bank, and following proper card security measures.
I understand that the CBA provides me with an alternate means of payment for airfare/conference registration fees
purchased on behalf of the University. I understand that all State and University procurement and travel guidelines
must be followed. I understand that any purchases made outside of these guidelines will be considered personal items.
I authorize payroll deduction for any items purchased that are not in compliance with State and University
procurement guidelines.
________________________________________________ _____________________________
Signature of CBA Primary Authorizer Date
I approve the above-named individual as the Primary Authorizer for the Centrally Billed Account (CBA).
It is recommended that a secondary approver be assigned for back-up purposes. Please provide the names of any
secondary approvers for this departmental CBA.
________________________________________________
________________________________________________
Department
Company Number & Cost Center
(For example: 10CC00408)
CBA Primary Authorizer LSUID
Phone Fax E-mail
Room / Building Baton Rouge, LA 70803
Signature Title
Department Head
Rev 06/16
