A CCOUNTS P AYABLE
Temporary
Payment Card Limit Increase
PRINT
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
Current Limit $__________________________Requested Limit $ ___________________________
Single Transaction Limit Change
Current Limit $__________________________Requested Limit $ ___________________________
Temporary Start Date ______/______/______ End Date ______/______ /_____
Cardholder Signature______________________________________________Date_____/_____/________
Reporting Authority Signature_______________________________________Date_____/_____/________
Submit Completed Application to: Accounts Payable/Payment Card • 112 Hover Building 734.487.0022
(Will end on the last business day of the month in which you indicate.)
November 2015
Temporary Start Date ______/______/______ End Date ______/______ /_____
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