Individual PCard Request Form

Individual PCard Request Form

Please note that prior to submission of this form, you must take the required PCard training in Edge Learning. You will need to attach your training certificate to this request.

https://arizona.sabacloud.com/Saba/Web_spf/NA7P1PRD161/common/learningeventdetail/curra000000000003740

Department Information

Please select your applicable Earth Sciences Business Center Department

Department (Org) Name*

Select or enter value

Workgroup Name *

Select or enter value

Workgroup Group ID*

Select or enter value

Department PO Box Address*

Department Head Email

Department Liaison*

Select or enter value

Cardholder Information

Last Name*

First Name*

NetID*

Employee ID*

University Email Address*

University Office Phone #

Phone

Cardholder Home Address (no PO Box)*

The purchasing card office requires this information, a street address must be provided.

City, State, Zip Code*

Cardholder Country of Citizenship*

Spending Profile Option*

General purchases only

General purchases + travel enhancement

Default Account Number *

Please provide a non-grant account to use as a default charge account. This number can be changed during purchase reconciliation.

File Upload*

Please upload the Edge Learning Certificate.

Drag and drop files here or

Send me a copy of my responses

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