not in use
Contents
1. may use any account available to you for reconciliation Maximum Sixty Hosting Optional Fund 4 Agency 3 Org 4 Sorg Optional R If this section is not signed by a Dean or Vice President hosting will not be pre approved In this instance each host transaction will need to be reviewed and approved by the appropriate authority in accordance with the PCard Policy Host Account In order to receive pre approval for hosting a Dean or Vice President must sign here x Application Authorization This Application must be approved by a Department Chair Director Dean or Vice President It must also be accompanied by a completed Cardholder Agreement This form may not be self endorsed By signing this form you grant the applicant authority to obtain and use a PCard as outlined in the UNLV Purchasing Card Manual The department is responsible for approving all accounts used for transactions made against this card Recommended by Signature Date Please Print Cardholder s supervisor Approved by Signature Date Please Print Devt Chair Director Dean Vice President DISBURSEMENTS USE ONLY Reporting Hierarchy Level 2 President Vice Level 3 Division Level 4 Sub Unit Level 5 Fin Office Level Numbers not in use Application Approved by Signature Date Please Print Program Administrator Appendix A Cardholder Application and Agreement UNLV Pr2. UNLV Procurement Card Program Cardholder Account Application New Card Application O Individual C Departmental C Change Request C Temporary Change Change Effective Until Cardholder Information Cardholder Name 21 Characters Or Department name Required by Bank One for Cardholder Security This does not appear on a credit report Email Address LAST 4 DIGITS of Social Security or UNLV ID Number Department Bldg Room Mail Sort Date of Birth MM DD YYYY Procurement Card Liaison if different from Cardholder Mother s Maiden Name or Password Work Phone Number The liaison will act on behalf of the Cardholder where record keeping and reconciliation are involved This does not remove the Cardholder from liability for an improper reconciliation 7 02 Credit Card Information UNLV Account Numbers Credit Limits Fund 4 Agency 3 Org 4 Sorg Optional Monthly Credit Limit Primary Account Maximum 10 000 If you are not a signature authority on this account Single Purchase Limit one of them must sign here X Maximum 5 000 Fund 4 Agency 3 Org 4 Sorg Optional Dollars Per Day Backup Account Optional If you are not a signature authority on this account Transactions Per Day one of them must sign here XxX Maximum Ten Primary and Backup accounts are required to process this application Transactions Per Month However you
3. endix A Cardholder Application and Agreement
4. in disciplinary action and or personal liability Should fail to use this PCard properly authorize the university to deduct from my salary or from any other amounts payable to me an amount equal to the total of the improper purchases also agree to allow the university to collect any amounts owed by me even if am no longer employed by the university If the university initiates legal proceedings to recover amounts owed by me under agreement agree to pay legal fees or collection costs incurred by the university in such proceedings understand that the university may terminate my right to use the PCard at any time for any reason agree to return this card to the university immediately upon request or upon termination of employment Applicant Signature Date Printed Name Campus Phone Department Mail Stop Email Address Department Approval As Department Chair Director or Dean Vice President I approve the issuance of a PCard to this staff member and assume overall responsibility for the card I accept the responsibilities for this card as are outlined in the Purchasing Card User Manual Section Roles and Responsibilities Department Head Account Manager Recommended By Approved by Supervisor Dept Chair Director Dean Vice President For completion with card distribution hereby acknowledge receipt of the following procurement card Number Expiration Date Signature App
5. ocurement Card Program Cardholder Agreement The University of Nevada Las Vegas is pleased to present you with the UNLV Procurement Card It represents the university s confidence in you as a responsible employee of the university entrusted to safeguard and protect university assets Cardholder Agreement understand that all purchases are to be made for business use only and consistent with existing policies The PCard program is not intended to avoid or bypass purchasing or payment procedures and is not for personal use As a Cardholder agree to comply with the terms and conditions of this agreement and the stated provisions of the Purchasing Card User Manual made available on the Purchasing PCard website attest that will be responsible for reviewing the online PCard Manual for updates and confirm that have read and understand its provisions understand that the university is liable to the issuing bank for all charges made by me As the holder of this PCard agree to accept responsibility for the protection and proper use of this card as outlined in the agreement and the user manual understand that the university WILL review my use of this PCard understand that CAN NOT use the PCard for the purchase of services without written permission from the PCard Program and that the purchase of such services shall be deemed an improper use of the PCard further understand that improper or fraudulent use of this PCard may result
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