Beloit College
Late Credit Card Form
Instructions: This form must be completed when a credit card statement is submitted more than 30 days after the
first day of the month following receipt of the statement. It should be attached to the Payment Distribution
Form and submitted to the employee’s supervisor and then to the Vice President for Finance and Planning for
approval.
Name:
Supervisor:
Department:
Closing Date of Credit Card Statement:
Please explain why your Corporate Credit Card statement is being submitted more than 30 days after the first
day of the month following receipt of the statement.
Signatures:
Employee: Date:
Supervisor: Date:
Taxable Credit Card Expenses Tax-Free Credit Card Expenses
Vice President for Finance & Planning: Date: