ARKANSAS TECH UNIVERSITY LOST OR STOLEN P-CARD
Purchasing Department Tel: 479-968-0269
Russellville, AR 72801-2222 Fax: 479-968-0633
Date: _______________________
From: Cardholder Name: ___________________________________________
Department: ___________________________________________
Cardholder Phone No: ___________________________
Last 4 Digits of Card No: ___________________________
Please check one: Card is believed to be _____ stolen _____ lost
Briefly describe circumstances of loss or theft: _________________________________
______________________________________________________________________
______________________________________________________________________
Cardholder Signature: ______________________________________
Information on telephone notice to VISA and US BANK CUSTOMER SERVICE
Date Notified: _____________________ Time Notified: __________________
Name of VISA Employee: ________________________________________________
(1-800-VISA911)
Name of US Bank Employee: _____________________________________________
(1-800-344-5696)
If loss or theft was discovered during normal business hours, notify the ATU Purchasing
Department IMMEDIATELY. We will call both VISA and US Bank.
If not during normal business hours, you must notify them as soon as possible, and
report the loss to ATU Purchasing and your immediate supervisor.
