Fillable Travel Cardholder Agreement/application - University Travel Card Program (Page 2 of 2) in pdf

APPENDIX N

Responsibility and Financial Liability Agreement – Purdue Travel Card

You are authorized to commit funds on behalf of the University and your business unit through the use of a

University Visa Travel Card issued in your name. Accordingly, you are the only person that may use your travel

card. All expenses must be made by you on behalf of and for the benefit of the University department, school,

office or other University entity in which you are employed. Personal purchases are not allowed with the Visa

Travel Card and cardholder privileges may be revoked for such use.

Compliance with University Travel policies and procedures, including timely submission of receipts and travel

expense reimbursement requests is mandatory. All receipts, statements and other documentation related to

card usage are University property and the University reserves the right to audit all records related to card

usage. The card must be kept secure at all times by the cardholder and if lost or stolen immediately reported

to JP Morgan Chase for cancellation as outlined in the Travel Card Manual. An on‐line training presentation

must be reviewed before use of the card is allowed.

Overpayments, personal charges, and/or unused cash advances will be deducted from the cardholder’s payroll

as necessary. Fraudulent or intentional misuse of the card by the cardholder may result in revocation of the

card, restitution and/or criminal charges. The University reserves the right to pursue all legal remedies

available to it with respect to inappropriate card usage. The University further reserves the right to revoke

cardholder privileges at any time and without notice.

I, the undersigned, as holder of this Visa Travel Card, agree to accept the responsibility for the protection and

proper use of the card, as noted above. I agree to abide by these as well as all other terms and conditions

contained therein.

Please initial:

I agree to review and comply with the Visa Travel Card policy.

 I understand the items prohibited from purchase with this card and that I will be held personally

responsible for unallowable purchases.

As holder of this Travel Card, I agree to accept responsibility for the protection and proper use of this

card as detailed above, and in the cardholder manual.

I agree to allow my Business Office to facilitate obtaining the card and delivery to me; and cancellation

and destruction of the card upon my termination.

I authorize Purdue University to deduct overpayments, personal charges, and/or unused cash

advances from my payroll when necessary, in accordance with the Travel Card Program manual. I

understand that this authorization is revocable upon written notice to Purchasing Card Operations.

(Use Appendix T,

Request for change to Travel Card)

Cardholder Name (Printed) ___________________________________________________

____________________________________________________ ________________________________

Signature of Cardholder

Date

Please return signed liability agreement and application to PCO/PTCA. Thank you.

RESET

Travel Cardholder Agreement/application - University Travel Card Program Page 2