Gift Card Request Form

Please complete this form. If you are requesting electronic gift cards, you will also need to have the template (links have been included above) containing information for each recipient ready to be uploaded to this form.

Requester Name*

Enter the name of the ISU employee requesting gift cards.

Requester Department Name*

Enter the department of the ISU employee requesting the gift cards.

Requester University Phone Number*

Enter the University Phone Number of the ISU employee requesting the gift cards.

Requester University Email Address*

Enter the University Email address of the ISU employee requesting the gift cards.

Worktag(s) that will be used to pay for these cards:*

If multiple Worktags are used, provide the dollar amount or percentage to be charged to each Worktag. You must enter a valid Program/Project/Gift/Grant Worktag.

Department Discretionary Program Worktag (not the:*

Please contact your Cost Center Manager (CCM) if you are unsure what discretionary program worktag would be appropriate. The department discretionary program worktag provided below should be an unrestricted fund source that will be charged for any physical gift cards purchased through his form when completed and signed Research Participation Receipt and Property Receipt Forms hasn't been provided to finance_delivery@iastate.edu with the Journal Entry (JE) number within 90 days and should not be the BU Gift Card Holding Program Worktag.

All gift cards must have a legitimate university business purpose.

Gift cards are to be given to individuals only and CANNOT be used as compensation for services provided or to companies and organizations. (e.g., visiting speakers, volunteers, research proctors, etc.) Review the Allowability and Appropriateness manual for more information: http://www.controller.iastate.edu/accounting/allowability.htm

Business Purpose for this request.*

Provide the detailed purpose of the order explaining why the university is making this purchase. (For example, for research studies include the dates and type of study being conducted.)

By what date are the gift cards needed?*

Gift cards will be ordered within 1- 2 business days from receipt of request. For any special circumstances (e.g., immediate need or delivery on a specific date) please email cardservices@iastate.edu.

Why are you requesting gift cards? Will they be provided as an:*

Select or enter value

Reason - Other*

What type of gift card do you need?*

Select

Electronic Reward Link to Tango Card Rewards Catalog

We are able to send rewards to recipients in the countries listed below. If you have recipients in a country not listed, email cardservices@iastate.edu for assistance. When completing the Reward Link Recipient Template, enter amounts in US Dollar only.

Available Countries*

Please choose one of the countries listed below based on where your recipients live. You will need to complete a separate Gift Card Request Form for each recipient country.

Select

VISA Plastic (physical) Gift Cards

VISA Plastic Card Quantity*

Provide the number of VISA Plastic cards needed and the dollar amount of the cards. If you need cards for more than one dollar amount, please provide the number of cards needed for each dollar amount (example 10 at $25 and 5 at $30). The minimum dollar amount for a VISA plastic gift card is $25.00.

VISA Electronic Gift Cards

The highlighted columns in yellow on the template are required. The Address provided must be a valid address of the recipient as required by USBank.

Amazon Plastic Card Amount*

Choose each card amount you are requesting. (You may choose more than one dollar amount or combine dollar amounts to reach the dollar amount needed.)

Select

Amazon Plastic Quantity for $10*

Enter the number of Amazon $10 cards needed:

Amazon Plastic Quantity for $15*

Enter the number of Amazon $15 cards needed:

Amazon Plastic Quantity for $25*

Enter the number of Amazon $25 cards needed:

Amazon Plastic Quantity for $50:*

Enter the number of Amazon $50 cards needed:

If we were to provide additional physical (plastic) cards, please select any that you might purchase.

You may select all that apply or type in your suggested retailers/restaurants.

Select or enter value

Signed Receipt Form*

I acknowledge if cards requested are valued $100 or more each, I have attached the signed research participant receipt forms or property receipt forms.

Select

File Attachment - Please upload the completed template for the selected electronic gift card*

Each of the templates have been provided in the webpage above. The completed template may also be used as documentation in lieu of the Research Participant Receipt Form or the Property Receipt Form for any electronic gift card with an amount less than $100.

Drag and drop files here or

A Journal Entry number will be emailed to you by cardservices@iastate.edu when the gift cards have been ordered.

Please email copies of the completed and signed Research Participation Receipt and Property Receipt Forms and your Journal Entry number to finance_delivery@iastate.edu so they can be attached to the Journal Entry in Workday.

If the completed and signed Research Participation Receipt and Property Receipt Forms are unavailable to submit at the time this request is submitted, a Business Gift Card Holding Account for your unit will be used to hold the expense for the gift cards until the documentation is provided.

If the documentation is not provided within 90 days, the charges for the gift cards purchased will be moved to the Department Discretionary Program Worktag you provided above.

For any gift cards valued at $100 or more, copies of completed and signed Research Participation Receipt and Property Receipt Forms must also be sent to the Tax Office, 2423 ASB, or via email to taxoffice@iastate.edu, in order to meet IRS tax reporting requirements.

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