☐ New P-Card	☐ Renewal P-Card	☐ Replacement P-Card	☐ Refresher Training

Requirements for Use of P-Card:

P-Card holder (Cardholder) agrees to only use P-Card to make purchases of allowable goods and services at the request and for the benefit of the Agency. Cardholder agrees to adhere to the requirements of the South Carolina Purchasing Card Policy and Procedures (State P-Card Policy), the South Carolina Consolidated Procurement Code, the Agency Purchasing Card Program Procedures, and the Agency procurement policies when using the P-Card.

Cardholder acknowledges that violations of this agreement may result in the Agency revoking the Cardholder’s P-Card privileges and/or taking disciplinary action in accordance with State and Agency policies.

Department or Office:	Click or tap here to enter text.

Cardholder Name:	Enter Cardholder Name

Purchasing Card Account Number:	XXXX- XXXX-Enter last 4 digits here

Single Transaction Limit:	$ Enter STL Amount

Monthly Credit Limit:	$ Enter Monthly Credit Limit

Select date.
Cardholder Signature	Acknowledgement Date

By signing above, I acknowledge that I have completed the required P-Card Training, have read and understand the State P-Card Policy and Agency P-Card Program Procedures, and accept responsibility for the proper use of the P-Card assigned to me. I understand that all transactions are subject to the Single Transaction Limit and Monthly Credit Limits assigned to my P-Card as shown above.

enter Supervisor name	Select date.
Supervisor/Approver Name	Supervisor/Approver Signature	Acknowledgement Date

By signing above, I delegate purchasing authority to the Cardholder and acknowledge that I have completed required P-Card Training; I have read and understand the State P-Card Policy and Agency P-Card Program Procedures; and I accept my responsibilities as Supervisor/Approver for the above cardholder and may not delegate those responsibilities.

enter Liaison name	Select date.
Liaison Name	Liaison Signature	Acknowledgement Date

By signing above, I acknowledge that I have completed the required P-Card Training and understand my Liaison Review and documentation retention responsibilities for the Cardholder’s P-Card transactions.

☐TERMINATE P-CARD	Reason: Select from list	Termination Date: Select date.

(Supervisor/Approver must collect and cut deleted P-Card in half and return to P-Card Administrator along with this form.)

Date Returned: Select date.

The Agency Head/Governing Board must approve STLs greater than $2500, and the State Materials Management Officer must approve any STL greater than $10,000.