04.55 E Cardholders Statement Affirming Familiarity with Requirements for Using District Credit and or Procurement Cards


    Cardholder’s name

    Cardholder’s address

    Position

    Name of individual who authorized issuance of card.

    I affirm that I am familiar with the Board’s policy on using credit and procurement cards, that I understand my responsibilities regarding use of such cards, and that I agree to adhere to all requirements regarding such cards.

    Cardholder’s signature 

    Date

     


    I provided a copy of this Statement along with a copy of the Board policy 4:55, Use of Credit and Procurement Cards, to the cardholder who signed this statement.

    Office personnel 

    Date