PHILADELPHIA, PA 19141 2026

1. Click ‘Get Form’ to open the Purchasing Card Application Form in the editor.
2. Begin by entering your Employee Name and the last four digits of your SSN in the designated fields.
3. Fill in your Title, Date of Birth, Department Name, Email, and Business Phone Number accurately.
4. Complete the Fund Code (110050), Organization Code, and Program Code sections as required.
5. Ensure that you obtain Department Head Authorization by having them sign and date the form.
6. Next, secure Vice President/Provost Authorization with their signature and date.
7. Read through the Purchasing Card Agreement carefully. Sign and date at the bottom to confirm your understanding and agreement.
8. Once completed, return the form to the Director of Accounts Payable and Purchasing as instructed.

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