SSUPurchasing

Forms and Manuals

Addendum to PCard Application (Word)

This form is used to change information on an existing PCard account (i.e. change the PaymentNet reviewer, cardholder limits, billing address, etc.). It is also used when to close PCard accounts. Upon completion, this form should be submitted to the PCard administrator in the Purchasing Department.

Approval of Expenses Statement (Word)

Approval of Expenses Statement (PDF)

Complete and attach this form to the monthly statement to reflect transaction approval.

Cardholder Agreement (Word)

Cardholder Agreement (PDF)

Each cardholder must sign this form, which indicates their agreement to the terms and conditions of the PCard program, prior to obtaining a card.

Cardholder Application (Excel)

Complete this form to request a Visa card for an employee.

Credit Confirmation (Word)

Credit Confirmation (PDF)

This form is used when a credit receipt cannot be obtained from the supplier. It helps identify the nature of the credit and states the amount received is ultimately correct. The completed form should be attached to the cardholder's monthly statement.

Fax Form

This form provides details for those PCard purchases made via fax. Print the form, complete it, and include it with PCard orders placed via fax.

Missing Receipt Affidavit (Word)

Missing Receipt Affidavit (PDF)

This form is for use with purchasing card or travel expense transactions when you have exhausted all means of obtaining an itemized receipt. Completed signatures are required to make this form acceptable. Important: This option should be used infrequently and must include your explanation and signature and the signature of the individual having approval authority for the PCard account. Any substantiating documents available should also be attached to the PCard statement.

Ohio Sales Tax Blanket Exemption (Word)

Ohio Sales Tax Blanket Exemption (PDF)

This form is supplied to merchants as proof of our Ohio sales tax exemption. The form may be downloaded and printed as needed.

PCard Manual (Word)
PCard Manual (PDF)

Statement of Disputed Items (Excel)
Statement of Disputed Items (PDF)

Supplier Non-Acceptance (Word)

Supplier Non-Acceptance (PDF)

This form is used to provide information about any vendor who does not accept the PCard. Submit it to the PCard administrator, who will work with the bank to gain future supplier acceptance.

Transaction Log (Excel)