University of Dayton
Pcard Cardholder Account Maintenance Request
Appendix C
Effective: 9/20/02
Cardholder Name: _____________________________________________________
Card Number: ________________________ Date:___________________
Type of Request:
Cancel Card
Default Account Code Change
Department Change **
Single Transaction Limit Change
Spending Limit Per Month Change
Number of Purchases Allowed Change
Merchant Blocking Change – Please initial to acknowledge that this is an exception to the Policy
and Procedures. ____
Cardholder Name Change *
Campus Address Change
Phone Number Change
Card Administrator Change
Department Contact Change
* Will result in cancellation of card and issuance of a new card with updated information
** Will result in cancellation of card. A new application must be submitted and new card issued.
Explanation of Request:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________
Cardholder signature:____________________________________
Supervisor signature:_____________________________________
Return completed request to the Pcard Program Coordinator at: St. Mary’s 304, +1640
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