US Bank VISA Corporate Travel Card Employee Application



VISA® Corporate Travel Card Employee Application

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Employee Application Information; Print this page. Complete and return this application to the:

Corporate Travel Card Administrator, c/o UMB Controller’s Office 3rd floor Quinn Administration Bldg.

Please Print

     

Last Name / First Name / Middle Initial

     

Department Name

     

OU No. (Controller’s Office Use ONLY)

     

Room / Building

     

City / State / Zip Code

     

Social Security Number (required to process application)

     

Birth Date (mm/dd/yy)(required to process application)

     

Home Phone Number / Business Phone Number (Please include your Area Code)

Do you travel overseas on University Business? YES         NO

Employee Understanding & Signature:

Using this card, the Employee applicant understands that the U.S. Bank VISA® Corporate Travel card is to be used for business charges only and the Employee Applicant is solely responsible and liable for all expenses charged to this card. The Employee Applicant understands and acknowledges that payment is due to U.S. Bank upon receipt of the monthly statement. The Employee Applicant further understands that is he/she fails to pay U.S. Bank for all undisputed charges, his/her card will be permanently canceled.

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Employee Signature (in blue or black ink, please)

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