Fillable PCardProfileMaintForm - AP Payment Card Profile Maint Form

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PCardProfileMaintForm - AP Payment Card Profile Maint Form

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ACCOUNTS PAYABLE
Payment Card Profile Maintenance Form
*This form should be completed to make changes to an existing card profile*
Submit Original Completed Document to Accounts Payable/Payment Card • 112 Hover Building 734.487.0022
Cardholder_____________________________________EID______________________________
Cardholder’s email address __________________________Card’s Last 4 Digits___/___/___/___/
Reason for Change (be specific, i.e. items/cost/travel/etc): ________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Monthly Card Limit Change Requires Cabinet or CFO approval if above $5,000
Current Limit $__________________________Requested Limit $ ___________________________
Single Transaction Limit Change Requires Cabinet or CFO approval if above $2,500
Current Limit $__________________________Requested Limit $ ___________________________
Cardholder Signature______________________________________________Date_____/_____/________
Reporting Authority Signature_______________________________________Date_____/_____/________
CFO or Cabinet Signature___________________________________________Date_____/_____/________
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PCardProfileMaintForm - AP Payment Card Profile Maint Form

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Completed 15 February 2020

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