Credit Card Limit Change Request
This form is to be used to temporarily or permanently increase a cardholder’s monthly card limit.
Supervisor and
Officer approvals are required.
Cardholder Name: _____________________________________________________________________
New Limit Requested (Original Limit + Increase): $ ___________________
Reason for Increase:
Date for the Increase to Take Effect: ______________________________
Please indicate if it is a:
Permanent Limit Change - or - Temporary Limit Change
If the limit change is temporary, please indicate the date the limit is to be reset: ______________________
Employee Signature Date
Supervisor Signature Date
Officer Signature Date
Clear Form