Procurement Card (PCard) Application for State

Request a PCard, the preferred payment card using state funds for work-related expenses, supplies and equipment up to $4,999.

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Completing the PDF Form

  1. Browse the tabs of the Excel document for instructions and form content
  2. Enter requested information into the form
  3. Print the form
  4. Get required signatures
  5. Scan a copy of the signed form for your records
  6. Email the scanned copy of the form to

Need Help Completing the Form?

Angie Rzeszut.

Angie Rzeszut

Director of Accounts Payable and Travel

Financial Management

Phone: 716-645-4533


Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated:  07/2019

Owner:  Financial Management