Procurement Card (PCard) Credit Pending Form for State

Record a credit for your records that you might be expecting from the supplier — usually due to sales tax or returns.

Department must retain this record and attach original documentation to the back. Records must be retained by the department for six (6) years, plus the current year. All PCard transactions are subject to audit and must comply with the policies and procedures governing the program.

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  1. Complete this form for your records only. Do NOT send to JPMC.
  2. If the problem cannot be resolved with the merchant, the cardholder must initiate a dispute with JPMC within 60 calendar days.  

Need Help Completing the Form?

Valerie Dennis.

Valerie Dennis

Asset Management, Card Programs and eProcurement

Financial Management

Phone: 716-645-2604


Form Facts

Form Type: Downloadable, PDF document

Requirements: Adobe Reader

Updated: 10/2022

Owner:  Financial Management