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Purchasing Card Unauthorized Purchase Form (Form 3300/014)
Handle: Document-3780
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Monday, November 30, 2009 02:15:56 PM CST
Monday, October 12, 2026 10:33:40 AM CDT
Modified By: VCAA Office (User-104, vcaa:DocuShare)DS
Locked By:
  • PURCHASING CARD UNAUTHORIZED PURCHASE FORM Today’s Date: Cardholder’s Name: Purchasing Card Account #: Supervisor/Budget Head’s Name: Form Initiated By (Check one): CARDHOLDER SUPERVISOR/BUDGET HEAD PURCHASING CARD ADMINISTRATOR Description/Amount/Date of Unauthorized Purchase: Explanation for Unauthorized Purchase: Provide circumstances causing unauthorized purchase.
  • CARDHOLDER WILL PAY BY CHECK OR MONEY ORDER TO CONTROLLER’S OFFICE PRIOR SECOND PAYDAY AFTER UNAUTHORIZED PURCHASE WAS NOTED.
  • CARDHOLDER WILL PAY BY PAYROLL DEDUCTION WITH FORMAL REIMBURSEMENT PLAN SUBMITTED TO CONTROLLER’S OFFICE PRIOR TO THE SECOND PAYDAY AFTER UNAUTHORIZED PURCHASE WAS NOTED.
  • CARDHOLDER’S PAY CHECK WILL BE DEDUCTE D THE FULL AMOUNT ON THE SECOND ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
3300-014 Purchasing Card Unauthorized Purchase Form 10-26.pdf
4
221843
No
Appears In: ALL FORMS - Alphabetically Listed by Form Title ,  DELGADO FORMS ,  PURCHASING CARD (P-CARD) FORMS and PROCEDURES
Preferred Version: Purchasing Card Unauthorized Purchase Form (Form 3300/014)