HomeMy WebLinkAboutOCDSB 651.001 Purchase Cards ApplicationOCDSB FORM 651.001 (July 2009) Page 1 of 1
PURCHASING CARD APPLICTION FORM
(References: Policy P.116.FIN Procedure PR.651.FIN)
Immediate supervisors are required to complete a separate form for each employee receiving a purchasing
card.
EMPLOYEE PERSONAL INFORMATION:
(Last Name) (First Name) (Initials)
(Birthdate – YYMMDD) (EIN Number)
MAILING ADDRESS FOR MONTHLY STATEMENTS (Place of Employment):
(Street Address)
(Department)
(City) (Province) (Postal Code)
(Business Telephone Number) (Fax Number) (E-mail address)
PURCHASING CARD CONTROLS:
Default ASN
Single Transaction Limit
(exclusive of tax)
$2,500 max. - specify if limit
should be lower:
Monthly Transaction Limit
(exclusive of tax)
$10,000 max. - specify if limit
should be lower:
(Please see the Purchasing Card Coordinator if you want to place restrictions on the types of merchants or the
specific merchants for which the purchasing card can or cannot be used.)
AUTHORIZATION:
Name of Immediate Supervisor:
(Immediate Supervisor’s Signature) (Date)
Financial Services
Department Approval
(rec’d by) (date)
Personal information on this form is collected under the authority of the Education Act and will be used for purchasing card
purposes. Questions regarding the collection of this information should be directed to the Purchasing Department.