UCI Accounting and Fiscal Services

University of California, Irvine
U.S. Bank VISA Corporate Card
Application

Application Procedures

This Corporate Card is a charge card - NOT a credit card. The balance is due upon receipt of the monthly statement.
UC Irvine employees with university business expense needs and appropriate departmental approval may apply for the card.
Complete this application, ensuring that all requested information is provided.
Sign application and secure appropriate departmental or administrative head approval.
Forward to: Travel Accounting Supervisor; Accounting - 1050. Call (949) 824-3662 with questions.

Personal Information -- Please complete and press "Print" for signature copy

Name: (Last, First, MI)
Employee ID#:		Date of Birth: mm/dd/yy
Mailing Address: (for billing purposes)
City:		Zip:
Business Phone No.:		Home Phone No.:
E-mail:	@uci.edu	FAX:
Department:		Dept. Code:
Department Address:		Zot Code:

Proper Use Agreement
I understand that use of my U.S. Bank Corporate Card account is limited to my own authorized University business entertainment and travel-related expenses only and that my card is not to be shared with others in my department. I understand that I am personally liable for all expenses charged to this card. I understand and acknowledge that payment of the full balance is due upon receipt of each monthly statement.
I also understand that the information provided on this form, as well as my Social Security number, will be provided to U.S. Bank.


Applicant Signature: _____________________________________________________   Date: ________________

Departmental Approval: _____________________________________________________________   Date: ________________

Approver's Printed Name: ____________________________________________  Title: _____________________ Ext: _________

Card Activation
Acceptable applications will be forwarded to U.S. Bank by Travel Accounting. Cards will be issued in the name of the applicant and will be delivered to the applicant's billing address. Upon receipt of the card, cardholders will need to contact FBS at 1-800-344-5696 to activate the card and accept the terms and conditions as outlined by U.S. Bank in the Corporate Cardholder Agreement accompanying the card and all future amendments. A Social Security number will be required for card activation.