DePaul University Procurement Card Program Employee Acknowledgement of Responsibilities

This document outlines the responsibilities I have as a holder of the DePaul Procurement Card. My signature indicates that I have read and understand these responsibilities, and further, that I acknowledge receipt of the DePaul Procurement Card issued in my name.

1. The DePaul Procurement card is intended to facilitate the purchase and payment of materials required to conduct University business. I cannot use the Card for personal purchases.

2. Use of the DePaul Procurement Card not authorized within policy can be considered misappropriation of University Funds. This could result in: a) immediate and irrevocable forfeiture of the Card b) disciplinary action up to and including termination of employment. c) potential civil and/or criminal liability

3. I understand that the Card must be surrendered upon termination of employment, whether for retirement, voluntary separation, resignation, dismissal, and so forth. I may also be requested at any time and for any reason to relinquish the Card.

4. I will maintain the Card with appropriate security whenever and wherever I may use the Card. If the Card is ever stolen or lost I agree to notify PNC and DePaul using the steps outlined in the Procurement Card Policy. I understand that if I follow the procedures as outlined, I relieve DePaul and myself of liability for fraudulent use. If I fail to follow the lost or stolen Card procedures as outlined, I may be considered liable for any and all charges made against my Card.

5. The Card is issued in my name. I will not allow any other person to use my Card. I am accountable for any and all charges made against the Card. All charges made against this card will be billed directly to my departmental account.

6. I understand that since the Card is DePaul University property, I will be required to comply with internal control procedures designed to protect University assets. This includes: a) being asked to produce the Card to validate its existence b) provide receipts to my budget manager and/or to auditors c) provide statements to audit its use

7. I understand that activity on the Card will be reported to DePaul and/or its representatives.

8. Since I am personally responsible for all charges on the Card (but not for payment), I will resolve any discrepancies by either contacting the merchant or PNC within 60 days of the Post Date.

9. I understand that all authorized charges will be billed directly to and paid directly by DePaul University.

10. I have read and acknowledge the restrictions and responsibilities outlined in the Procurement Card Requirements policy

******** Read Both Pages Carefully Before Signing ******** DePaul University Procurement Card Program Employee Acknowledgement of Responsibilities

AGREEMENT TO ACCEPT THE PNC VISA PROCUREMENT CARD ISSUED BY DEPAUL UNIVERSITY

DePaul is pleased to present you with this procurement card. It represents DePaul's trust in you and your empowerment as a responsible agent to safeguard and protect our assets.

I, ______hereby acknowledge receipt of a DePaul PNC VISA Procurement Card, number (last three digits) ______. As a Cardholder, I agree to comply with the terms and conditions of this agreement.

I acknowledge receipt of said Agreement and confirm that I have read and understand its terms and conditions. I understand that DePaul is liable to PNC for all DePaul charges.

I agree to use this card for DePaul approved purchases only and agree not to charge personal purchases. I understand that DePaul will audit the use of this card and report any discrepancies; I also understand that I must notify DePaul and PNC immediately if my card is lost or misplaced and that I will not let anyone else use my card for any reason.

I further understand that improper use of this card and/or violation of this agreement may result in disciplinary action up to and including termination of employment. Should I fail to use this card properly I agree to authorize DePaul to deduct from my salary the amount equal to the total of the discrepancy. I also agree to allow DePaul to collect any amounts owed by me even if I am no longer employed by DePaul.

I understand that DePaul may terminate my right to use this card at any time for any reason. I may also be requested at any time, for any reason to relinquish the card. I agree to return the card to DePaul immediately upon request or upon termination of employment.

Cardholder Printed Name: EmplID:

Signature: Date:

Department: Extension:

********

Employee’s Manager / EmplID: Designee Printed Name:

Signature: Date:

Department: Extension:

DPU PeopleSoft Chartfield: (All fields must be filled in) Fund Dept ID Program Class Project/Grant

******** Read Both Pages Carefully Before Signing ********