I hereby request a CCC Procurement Card (P-Card). As a P-Card cardholder, I agree to become familiar with the State of North Carolina and CCC’s purchasing policies and procedures including the CCC P-Card Policy and Procedures Manual.
Employee Name (Print)________________Employee ID Number _____________ Signature & Date____________________
Department ___________________Building and Room Number_____________ Phone____________________________
Supervisor’s Name (print): _______________________________Signature & Date: ______________________________
VP of Division’s Name (print): _______________________________ Signature & Date: _______________________________
VP of Finance and Administrative Services : _____________________________Signature &Date: ___________________
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Complete & Sign This Section When You Pick-Up Your P-Card:
Based on the training that I received on _________________________, I understand and agree to comply with all provisions of CCC’s P-Card Policy & Procedures Manual and the following terms & conditions:
- I will be making financial commitments on behalf of CCC and obligating CCC to make payments for purchases made on my P-Card.
- I understand that CCC is liable for such transactions and that CCC reserves the right to suspend or revoke my P-Card at any time for any reason deemed necessary by CCC.
- If I am placed on probation for any reason, my P-Card privilege will be suspended immediately.
- I will adhere to CCC’s and the State of North Carolina's purchasing policies for seeking competition and using state term contracts when available.
- I will make decisions that are in the best interest of CCC and strive to seek the best source available to provide the goods and services required to carry out my responsibilities at CCC.
- The CCC P-Card shall be used only for approved purchases required to conduct business at CCC, and I will not use it to make any personal purchases.
- The CCC P-Card Administrator will audit my monthly Statements of Account and will recommend appropriate action regarding unauthorized purchases or other purchasing discrepancies.
- Failure to comply with all applicable policies and procedures may lead to the suspension or revocation of my P-Card privileges or other disciplinary action.
- I agree to return my P-Card to the P-Card Administrator immediately upon request or upon termination of my employment at CCC.
- If my P-Card is lost or stolen, I agree to report immediately such loss to the issuing bank and to the CCC P-Card Administrator.
Signature: ____________________ Date: ________________ P-Card Account Number: ___________________