Purchasing Card Usage Form
Document and submit your purchasing card expenses for approval. Please complete all required fields for accurate tracking.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department
*
The Last 4 Digits of Your Credit Card
*
Purchase Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Merchant Name
*
Purchase Amount (USD)
*
Purpose/Description of Purchase
*
Upload Receipt
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Approver Name
*
Submit Expense
Should be Empty: