Date:___/___/___
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Please add travel privileges tomy CardholderProfile.
IunderstandthatallUniversitytravelshallcomply withSection112.061,FloridaStatutesandthe
guidelinesestablishedbyFloridaPolytechnicUniversity.
IunderstandthatFailuretocomplywiththeseprocedureswillresultintherevocationofmycard
holder'sprivileges.AnysuchchargesthatIoweasaresultofaviolationoftheCardholderAgreement
maybedeductedofanymoneywhichwouldotherwisebedueandowingme,includingsalaryand
wages,inaccordancewithRule3A‐21.004,F.A.C.
CardholdersSignature:
Director (Print):
Director (Sign):
IhavebeenprovidedacopyoftheFPUExpenseCardManual. IunderstandthePurchasingCard
Programandhavebeengiventheopportunitytoaskanyquestionstoclarifymyunderstanding.
FLORIDA POLYTECHNIC UNIVERSITY
EXPENSE CARD PROGRAM
CARDHOLDER TRAVEL ADDENDUM
Cardholder Name: