Free maintenance request form 51
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Purchasing Card
Account Maintenance Request
Form Disbursement Center
CARDHOLDER INFORMATION
First Name:

Initial:

PeopleSoft ID:

Last Name:

Email:

Work Phone:

Cardholder
Signature:

Date:

REQUEST FOR CHANGE OF CREDIT LIMITS
Please check one:

Temporary

End Date

Permanent

Increase/Decrease monthly credit limit from

$

to

$

Increase/Decrease single transaction limit from

$

to

$

Justification:

PeopleSoft Dept:

Dept Name:

AUTHORIZATION BY BUSINESS UNIT APPROVER REQUIRED FOR ALL CHANGES
Authorized By (Print Name):

Title:

Signature:

Date:

Controller
(for transaction limits $5,000 or more - not for software or equipment purchases)

Date:

REQUEST TO UNBLOCK A MERCHANT CATEGORY CODE
MCC blocks are designed to prevent unauthorized purchases. You can request an MCC code to be unblocked if you
have had an authorized business purchase declined due to a blocked MCC.
I request the following Merchant be unblocked:
Supplier Name:

Amount of purchase

Business Purpose:

PeopleSof