PCard Application/Maintenance Request Webform 1 Start 2 Complete 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. YesNo 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 * PCardholder/PCard Manager Phone Number * Do not include dashes or spaces when entering the 10-digit phone number (example: 6142926446). PCard Training Verification * Has the applicant completed all university PCard trainings required to become a PCardholder/PCard Manager? - Select -YesNo Request Type * New PCard Request Existing PCard Maintenance Does this Request Replace an Existing PCard? * Yes No First Name of PCardholder/PCard Manager Needing Replacement * Last Name of PCardholder/PCard Manager Needing Replacement * Employee ID of PCardholder/PCard Manager Needing Replacement * Last 4 Digits of PCard Being Replaced * Embossed Name on PCard Being Replaced * Business Justification for New PCard * PCard Funding Source * UNIV OSP OSP Card Type * Department Card Individual Card GET Card UNIV Card Type * Department Card Individual Card GET Card Embossed Card Name * PCardholder/PCard Manger Street Address (University Locations Only) * Room & Building City * State * Zip Code * Department Cost Center Number * Department Cost Center Manager * - Select -Ameredes, OliviaBaker, SteveBuxton, JesseCooperrider, ZacCornell, RachelCrespo, AnaDimit, SusanFord, BryanGrgich, PeggyHayward, GaryLokai, RachelMarbaugh, MarkPasquale, LaurenSchneiderman, RickSimpson, LisaWeimer, RobinWilliams, LauraWilson, Zach Amazon Account Access Needed? * Yes, please add the new card to the FAES Amazon Business Group. No, this card will not be used to make Amazon purchases. Spend Authorization Number * Beginning Date of Travel * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Ending Date of Travel * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 ATM Access Needed? * Yes No Percentage of Cycle Limit Needed for Cash Withdrawal * ATM Access Business Purpose * Temporary Transaction/Cycle Limit Increase * Note: Standard limits for GET cards are $2,500 per transaction and $7,500 per cycle. Yes No Requested Temporary Cycle Limit * $ Requested Temporary Transaction Limit * $ Temporary Limit Increase Justification * PCard Funding Source * UNIV OSP OSP Card Type * Department Individual UNIV Card Type * Department Individual Last 4 Digits of PCard * Embossed Card Name * 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 MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Temporary Increase End Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Temporary Limit Increase Justification * Updated Street Address (OSU Campus Locations Only) * Updated Room & Building * Updated City * Updated State * Updated Zip Code * Updated Embossed Card Name * Updated Cost Center Number * Request/Remove Temporary Hold * Request hold Remove hold Cancel PCard * Yes, I wish to cancel this card Invoice/Quote Files must be less than 10 MB.Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml. CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.