Prepaid Debit Card Information Template

Use this template when applying for the Prepaid Debit Card program for Students and Third-Parties.  This program can be used for meal allowances (per diems) and gifts, prices and awards.  See Prepaid Debit Cards for Students and Third-Parties.

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Prepaid Debit Card Information Template
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Completing the PDF Form

  1. Enter requested information into the form
  2. Keep a copy for your records
  3. Send completed  form with your submission so the Prepaid Debit card Program.

Need Help Completing the Form?

Valerie Dennis.

Valerie Dennis

Asset Management, Card Programs and eProcurement

Financial Management

Phone: 716-645-2604

Email: vlb5@buffalo.edu

Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 2/2024

Owner: Financial Management