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| Requestor Information |
| Name of requestor: |
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| E-mail address of requestor: |
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| BC phone number: |
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| Cardholder Information |
Name of Cardholder:
as it should appear on the card |
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Name of Department:
as it should appear on the card |
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| Cardholder E-mail Address: |
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| Campus Mailing Address: |
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| Amount of Initial Deposit: |
$ |
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| Chart String Information |
| Dept ID (6 digits): |
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| Fund Code (3 digits): |
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| Fund Source (5 digits): |
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| Program (5 digits): |
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| Function (3 digits): |
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| Property (5 digits): |
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| Miscellaneous |
This card is intended for:
Please check all that apply |
use in the Dining Halls
Eagle Express On-line Orders/Webfood
use in the Bookstore
use in the vending machines
use at off-campus locations
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| Questions or Comments: |
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| Card Holder Agreement |
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I understand that Departmental Plans, funded from operational budgets, are intended for business use in the same year as the budget year from which the funds are accessed. I certify that expenditures from this department plan are for university business purposes and that card balances are not being carried from one year to the next in material dollar amounts. Per IRS guidelines retention of reciepts is the responsibility of the department or cardholder. Purpose and attendees must be documented and accounted for. I understand that Department Card transactions are subject to Boston College Internal Audit scrutiny and that abuses can result in the forfeiture of funds on a department plan and reductions in future budget allocations. |
I have read and agree to the terms and conditions stated above.
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