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Procurement Cardholder Account Maintenance Form  
This form must be submitted by the Card Administrator. If you have any questions about this form, please contact Procurement Services at 302-831-2159 or

Requestor E-mail:  
Phone:   (use format xxx-xxx-xxxx)
Cardholder Name: 

  Please complete the fields specific to your request:

Campus Address Change
New address: 
Campus Phone Number Address Change
New phone number:  (use format xxx-xxx-xxxx)
Request to Cancel Card
Termination date: 
Cardholder Name Change/Correction
Old cardholder name: 
New cardholder name: 
Department Change
Old department name: 
New department name: 
Default Speedchart *
Old speedchart: 
New speedchart: 
Card Administrator Change *
Old card administrator: 
New card administrator: 
Independent Reviewer Change *
Old independent reviewer name: 
New independent reviewer name: 
Single Transaction Limit Change
Old transaction limit: 
New transaction limit: 
Monthly Cycle Limit
Old cycle limit: 
New cycle limit: 
If changes apply to more than one person, please list the individual names in the comments section (i.e. rather than filling out multiple forms).

Explanation and/or