Revised 11/2011
Reallocation Viewer Access Request
Procurement Card Program
Cardholder Information
Reallocator Name:
Department:
Reason for Viewer Access
Primary Reallocator (Person will be responsible for all reallocations for mentioned cardholders)
Basic viewing (Person monitors card use but is not responsible for reallocations)
Temporary Reallocator (Person responsible for reallocations for a given time period)
Temporary Reallocation Responsibility time period:
Cardholders to Reallocate
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Name:
Last 4 Digits of Card:
Cardholder Acknowledgment & Certification of Signature
I understand that in being able to view another cardholder's transactions I am responsible for helping to ensure timely and
accurate reallocation. I also understand that if I see any purchases that are not in compliance with the School's policies and
procedures including but not limited to the School's Financial Policies, Procurement Rules, or the Direct Charge Policies it is
my responsibility to report the violation to the Procurement Card Administrator to help ensure proper use of the P-Card.
Reallocator's Signature
Date
Approving Officials' Signature
Date

Document Outline