Corporate Credit Card Acknowledgement Form

Date: __________      Employee name: ____________________________________

Credit card type:  __ Visa  __ Mastercard  __ American Express  __ Other: _________

Account number: _______________________________     Expiration date: _________

I have received the corporate credit card indicated above. I take responsibility for all expenses charged to this credit card and I agree to the following:

• Use of the corporate credit card is for business-related travel, meals, hotels, car rentals and other business-related expenses.
• Personal expenses may not be charged to the corporate credit card.
• All receipts for charges to the corporate credit card must be submitted each month to the finance office along with a monthly expense report.
• The corporate credit card must be returned to the office manager or to human resources immediately upon termination or resignation, or at any time upon request.

I have read, understand and agree to the above-mentioned terms governing the use of the corporate credit card. I understand misuse or abuse of this credit card or willful violation of the terms of this agreement may result in personal financial liability and disciplinary action, including discharge.

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Employee Signature                                                      Date

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Printed Name