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NNRHA CREDIT CARD REQUEST FORM
1. Card authorization requested (select only one option):
A) Corporate Card
2. Employee Name: Budget Fund:
Email Address:
Telephone Number:
3. Department Name and Location:
4. NNRHA Billing/Mailing Address:
Same as Above
5. Provide explanation of business need:
6. Transaction limit for Corporate Card Requested Monthly Limit $ __
(transaction travel limit is $2,000; however, when using the card
for non-travel related purchases, the transaction limit is $1,000.00)
As the Department Head, I acknowledge that it is my responsibility to ensure that:
a) the employee abides by the conditions of the program; b) I take appropriate action in situations involving
misuse of the card; c) I notify the Program Administrator if the cardholder is terminated for any reason, or if the
cardholder transfers to another department within NNRHA; d) reports and transactions are checked for
accuracy and supporting documentation is maintained for each transaction.
Department Head: Date:
Approved by Executive Director: Date:
NNRHA – Credit Card Policy (07/02/2026) 31Jump to an indexed page (141 of 141)