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Declining Balance Card Student Request

DESCRIPTION

This form is used for students to request a Declining Balance Card for business or travel purposes. It includes essential fields such as the date the card is required, personal information about the cardholder, and a detailed section for explaining the reason for the request. The form also captures necessary signatures from both the cardholder and the manager for authorization, along with any tracking information via the business office. Proper completion ensures timely processing of the request.

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Declining Balance Card Student Request

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  1. Declining Balance Card StudentRequest Date Requested ______________________ Date Card Required _______________ Department __________________________ Phone Number ___________________ Cardholder’s First Name ________________ Last Name ______________________ Dollar Amount Requested $______________ Student ID Number ________________ GL Code: Reason for request: (please give specific travel dates or details of business need) _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Please print legibly Authorized Signatures: ___________________________________________________________________________ Cardholder’s Signature Print Name Date ___________________________________________________________________________ Manager’s Signature Print Name Date To be completed by Business Office: Date received ____________ Approved Declined Request No _______ Reviewed by ______________ Card Ordered __________ Card Received _________

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