State Government Purchasing Card Program

Forms

To assist in selecting the proper form, purchasing card forms are segregated into 2 groups. Forms used to submit or revise data sent to Citi are found in Group One. Forms relating to documentation required by the Purchasing Card Operations Section for general use of the card are found in Group Two.

All forms must be submitted to the Purchasing Card Operations Section for processing.

Note: You will need the latest version of Adobe Acrobat Reader to view or download documents in this section. If you do not have the most recent version of the Adobe Reader, click Get Adobe Reader! and follow the directions to download it FREE from Adobe.com.


Citi

Adobe PDF Program Coordinator Setup Form
Adobe PDF Cardholder Application
Adobe PDF Cardholder Maintenance Form
Adobe PDF Approving Official Setup
Adobe PDF Dispute Form
Adobe PDF Unauthorized Card Use Affidavit


Policies & Procedures


Adobe PDF State Auditor's Office Purchasing Card Policies and Procedures Manual

( Revised - August 2014 )


Documentation


Adobe PDF 3rd Party Payment Processor Agreement
Adobe PDF Tax Exemption Certificate
Adobe PDF Cardholder Agreement
Adobe PDF Hospitality
Adobe PDF Log Sheet
Adobe PDF Vendor Complaint Form
MS Excel Sample P-Card Travel Settlement Summary Form


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Toll Free 877.982.9148   Phone 304.558.2261   Fax 304.558.5200


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