Check one box -	to Add a new account; complete all sections - except the Account Number.  to change an existing account; verify the account number in the upper right hand corner of the form and the Cardholder name. Then enter only the data to be changed.  to delete an existing account; verify the account number in the upper right hand corner of the form and the Cardholder name.
	Cardholder Name:	The cardholder's full name, as they wish it to appear on the card and as they usually sign their name.
	Cardholder Initials:	A three character designation for this cardholder. This could be the cardholder's actual initials or another designation that will assist in sight recognition.
	Campus Phone #:	Where someone who can answer any questions about this form can be reached, if necessary.
	2nd embossed line	Optional. The cardholder can use this field to allow in easy identification of a specific card, when a cardholder has more than one card. This field will print on each receipt.
	USID	The University System identifier you use in the payroll system. This is used for verification purposes only.
	Responsible Area/Org:	This should be the CUFS RAREA RORG related to the CARD. This will generally be the same Responsible Area/Org as used for the individual's position.
	Default Accounting	You must reference either an existing and open CUFS Purchase Order number and the line number, or a default Fund-Area-Org-Object accounting line with an active CUFS Expense Budget line — BUT NOT BOTH. No card will be issued without this information.
	Fund-Area-Org	This can include a sub-org and/or a sub-object code if your department uses them. A valid fund, area org combination is required, and there must be an active budget line on the EXPB table in CUFS.
	SIC XREF	As an option, for fund-area-org defaults only, the default object number can be determined on the basis of the supplier's SIC code. To enable the SIC XREF to determine the object code to use, enter a Y - otherwise leave blank. See the Manager's guide for more information on this option.
	SIC CODE	If you answered Y to the SIC XREF above, reference the proper code (see the Manager's guide for valid options) or DEF to use the default coding for your campus.
	Purchase order	This must be an existing Purchase Order (POA) and a valid line number on that Purchase Order that has been updated in CUFS.
	Limits	Indicate the dollar amounts and numbers of transactions which should be enforced on this card. These limits may be increased or decreased at any time.
	Post New Transactions	Two options are available, you can select only one.  To have all transactions posted to CUFS as soon as they are received, leave both areas here blank.  Or, you can chose to have bank transactions held within the HUM environment prior to being posted to CUFS, by completing either of these two pieces of data needed; hold for a specific number of days or always post on a certain day of the week.
	Hold for	to have documents held for a fixed number of days, enter the number of days to hold.
	Always Post on	to have documents always processed on a certain day of the week, enter the day you want to have them submitted to CUFS, ie. Tuesday
	MCC Code:	The code specification indicating the restrictions to be placed on the use of this card via supplier SIC codes. This will generally be 03I for Keene State College or 86E for all others. Refer to the Manager's guide for more detail on these codes.
	Max Dollars/Transaction	The upper limit for each transaction dollar amount is $1,000, however each card may have a limit imposed at an amount less than or equal to that.
	Max # Trans/day	The maximum number of separate charges a cardholder is limited to conduct each day.
	Max Dollars/month	The maximum dollar amount of total charges permitted each month.
	Max # of Trans/month	The maximum number of separate charges a cardholder is limited to each month.
	Email Data	Enter the Preferred Email address and the HUM account as required. At minimum, one address for the Business Manager's HRSU account must be completed here, all others are optional. If the Cardholder does not have an institution Email address, a substitute may be used, such as a departmental support person.
	Preferred Email	This is optional. You are not required to supply a Email address other than your HRSU account. However, you may provide an email address other than your HRSU account that you would prefer to use for all email communications. If you receive your email on your HRSU account, you do not need to enter that here, enter your HRSU account under the HUM User Name and your email will be sent to that address.
	HUM User Name	The HUM account will determine security access for viewing and updating any transactions related to this purchasing card on the PCARD Transaction screen in HUM.
	Options	Items within this group are optional on all cards. The defaults are supplied. To accept the defaults, leave the fields blank. To change the default, enter the appropriate data in the fields of only the items you wish to change.
	Email Notification
	Options	The options selected will determine when notification will be automatically forwarded to the individual on each of the indicated actions. All are optional. A mandated system default will be imposed in addition to these options that will automatically notify the Business Manager when a document continues to fail to update 2 days prior to the scheduled pay date,
	Any Document Failure	Answering Yes to this means that person will receive a notification each time a document fails to update to CUFS.
	Receipt from Bank	Answering Yes to this means that person will receive a notification each time a transaction is received from the bank.
	Document failure within  X days of Pay Date	Answering Yes to this means that person will receive a notification when a document related to this card fails to update to CUFS within X number of days of the scheduled pay date. If this is answered Yes, you must also supply a number of days from the scheduled pay date you wish to be notified.
	Email Monthly Statements	Answering Yes to this will have a statement sent to your preferred email address each month. It is not required for each individual to receive a copy, but it is recommended that the cardholder review his/her transactions through either the statement or on line.
	Card Expiration Date	All cards will automatically expire in two (2) years. If you wish this card to expire sooner, enter this date. Otherwise leave blank.
	For Bank Identification Purposes:	The information here is used by the bank, in addition to your USID, to identify the Cardholder via the telephone, to activate the card, register inquiries or disputes, and to report a lost or stolen card. This data will assist the bank to determine the identity of the caller.
	Date of Birth	Your date of birth in MM/DD/YY format.
	Mother's Maiden Name	Your Mother's maiden name or a code word of your choosing.  THIS MUST BE A WORD YOU CAN REMEMBER.
, ,	Authorizations	The Cardholder, Department head, and Dean or Director or their designees must sign off as requesting this card. In signing this document both parties are committing to accepting the responsibilities relating to the ownership and usage of the card.
/TD>	Cardholder Acceptance	DO NOT SIGN THIS SECTION AT THIS TIME THIS SECTION SHOULD BE COMPLETED WHEN YOU ATTEND TRAINING and PHYSICALLY PICK UP YOU CARD.