ARKANSAS TECH UNIVERSITY P-CARD EMPLOYEE AGREEMENT
Cardholder Name: Department:
Street Address: ______________________________________
Ark Driver’s License No:
Telephone:
I, as an authorized P-Card holder, fully understand and agree to the following terms and
conditions:
1. I accept full personal responsibility for the safekeeping of the P-card assigned to me and
agree that absolutely no one other than myself is permitted to use it.
2. I will be making financial commitments on behalf of the University and will always
endeavor to obtain fair and reasonable prices.
3. I have received training for the use of the card and agree to follow all established
procedures.
4. I will not use the card for unauthorized or personal purchases.
5. I will immediately report the theft or loss of the card to VISA by phone at 1-800-VISA911,
to the Purchasing Department 968-0269 and to my department head.
6. I will surrender my P-Card upon (a) my termination of employment, (b) my transfer to
another department within the University or (c) upon the request of my supervisor or the
Purchasing Department. Further, I understand that my last paycheck will be withheld
until the P-Card is property surrendered.
7. I understand that any purchases made by me will be recorded and reviewed for
payment, possible discrepancies and appropriateness of purchase.
8. I understand that I am responsible for obtaining all original receipts and submitting them
in accordance with P-Card procedures.
9. I understand that failure to follow any of the above listed terms and conditions or misuse
of the P-Card in any way may result in (a) revocation of the privilege to use the card, (b)
disciplinary action up to and including termination of employment and/or (d) criminal
charges being filed by US Bank and/or the State of Arkansas.
I hereby accept the above terms and conditions:
Employee (printed name) Employee Signature Date Signed
I, as Department Head, assign Index Code __________________ with an established single
purchase limit of $_ and monthly limit of $ _________ to be used for all charges
related to the use of this P-Card.
Department Head (printed name) Department Head Signature Date Signed
(If applicable) Approved by:
__________________________ _____________________________ ________________
Dean (printed name) Dean Signature Date Signed
Approved by:
Vice President (printed name) Vice President Signature Date Signed
P-Card Issued By:
Date Issued:
P-Card No:
Signature of Cardholder (acknowledging receipt of card)
SIGN THE BACK OF YOUR CARD NOW
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