HomeMy WebLinkAboutOCDSB 651.003 PC Change Cancellation FormOCDSB FORM 651.003 (July 2009) Page 1 of 1
CARDHOLDER CHANGE / CANCELLATION
FORM (References: Policy P.116.FIN Procedure PR.651.FIN)
Immediate supervisors are required to complete the appropriate section(s) of this form for each cardholder.
(Cardholder Name) (Purchasing Card Number)
SECTION 1 - CHANGE ADDRESS WHERE MONTHLY STATEMENTS ARE TO BE SENT:
(Street Address)
(Department)
(City) (Province) (Postal Code)
(Business Telephone Number) (Fax Number) (E-mail address)
SECTION 2 - CHANGE PURCHASING CARD CONTROLS:
New Default ASN
New Single Transaction Limit
(exclusive of tax)
$2,500 max. - specify if limit
should be lower:
New 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 which types of merchants or
which specific merchant’s the purchasing card can or cannot be used at)
SECTION 3 - CANCEL PURCHASING CARD:
Card was lost - Date reported to VISA and Financial Services
Card was stolen - Date reported to VISA and Financial Services
Other - Please attach Purchasing Card
Card was lost or stolen, cancelled, then found - Please attach Purchasing Card
Financial Services
AUTHORIZATION: Department Approval
________________________________________ _________________ ______ __________
(Immediate Supervisor’s Signature) (Date) (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
uses. Questions regarding the collection of this information should be directed to the Purchasing Department.