Purchasing PC07
University of Windsor Purchasing Card APPLICATION
This form is to be used by the Campus Community to apply for a UWindsor Purchasing Card.
Cardholder’s Name: _______________________ _____, ___________________________________
First Name Initial Last Name
(21 character limit on full name)
Business Phone Number: (519) 253- 3000 ext. ____________
E-mail address: ______________________________@uwindsor.ca
UWinID (Used as login ID with CentreSuite): _________________________________
Significant DATE: ______________________________ (month/day/year)
You must assign your own significant date. It is required by the Bank for security reasons. It must be a valid DATE (8 digits)
and format must be MMDDYEAR (e.g. 12011941).
Reminder: All Cardholders must complete the mandatory online Purchasing Card Training and Quiz before you can pick up your
Purchasing Card from the Procurement Office. If the quiz is not completed when you go to pick up your Purchasing Card, the
Purchasing Card Administrator will not release your new card to you. Training and Quiz can be found at:
Dollar Limits ($)
Single Transaction Limit: $2,825 (including taxes)
Monthly Spending Limit: $ 10,000
Card Restrictions
Merchant Category Code (MCC) exclusions for this Purchasing Card will be set up as per
University defaults - refer to Cardholder Information Package.
Please list which account numbers should be linked to your purchasing card. These will be used
for transaction/expense allocation within the Scotia CentreSuite Card Management System. You
must have signing authority on these accounts:
Fund #: _________________________________________________________
Department Account# _____________________________________________
Program Account # ________________________________________________
Project Account # _________________________________________________
Grant Account #___________________________________________________
Classification Account # ____________________________________________
Grant Approval
If applicant is not the Grantee, this application must be review and approved by the Grantee
Your signature below indicates approval of the form and confirms that all information is accurate. The form must be signed
with written signature or official digital signature
Department Approval Signature: _______________________________________________
Department Approval Name (Please Print):_______________________________________
Approver Title: ________________________ Phone Ext. _______________________
Grantee Approval Signature: ___________________________________________________
Grantee Name (Please Print): _________________________________________
Grantee Title (Please Print) : ___________________________Phone Ext. _______________________
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Purchasing Card Agreement EMPLOYEES
(to be signed upon card issuance)
This document outlines the responsibilities I have as a holder of the University of Windsor Purchasing Card. My signature
indicates that I have completed the mandatory online Purchasing Card Training and Quiz, and that I agree to adhere to
the policies and procedures established for the program.
Cardholder Signature: ______________________________ Date: _____________________
Cardholder Name (please print): ____________________________________________________
Purchasing Services Use Only:
Date Card Was Requested: _________________________________________________________
Scotia Confirmation Number: _________________________________________________________
Date Card Received from Scotia: _________________________________________________________
Date Cardholder Completed the Online Quiz: _______________________________________________________
Date Cardholder Picked up Card: __________________________________________________________
Purchasing Card Administrator Signature: ___________________________________________________
Procurement Manager Signature: _________________________________________________________
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