PCard Maintenance Request Form

Submitting on Behalf of Another? *

Select "yes" if you are submitting this request on another person's behalf. Select "no" if you are submitting the request for yourself.

Webform Submitter's First Name *

Webform Submitter's Last Name *

Webform Submitter's OSU Email *

PCardholder/PCard Manager First Name *

PCardholder/PCard Manager Last Name *

PCardholder/PCard Manager Employee ID *

PCardholder/PCard Manager OSU Email *

Department Cost Center Number *

Department Cost Center Manager *

Embossed Card Name *

Last 4 Digits of PCard *

Card Type *

Department

Individual

PCard Funding Source *

UNIV

OSP

Maintenance Type *

Temporary Limit Increase

Change Address

Change Cost Center

Change Embossed Card Name

Remove/Request Hold

Cancel Card

Requested Temporary Transaction Limit * $

Requested Temporary Cycle Limit * $

Temporary Increase Start Date *

Month

Day

Year

Temporary Increase End Date *

Month

Day

Year

Temporary Limit Increase Justification *

Updated Street Address *

OSU campus locations only.

Updated Room & Building *

Updated City *

Updated State *

Updated Zip Code *

Updated Cost Center Number *

Updated Embossed Card Name *

Remove/Request Temporary Hold *

Request hold

Remove hold

Cancel PCard *

Yes, I wish to cancel this card

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PCard Maintenance Request Form