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. Read through all pages of the document to find specific instructions if any
  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. Send the original, completed, signed form to:         

Procurement Card Administration
224 Crofts Hall
North Campus

Need Help Completing the Form?

Send email, phone or submit a question

Angie Rzeszut

Angie Rzeszut

Director of Accounts Payable, Travel and Procurement Card

Financial Management

Phone: 716-645-4533


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Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated:  06/2015

Owner:  Procurement Services