"Purchasing Card Program User Profile Information Form" - Florida

Purchasing Card Program User Profile Information Form is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

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Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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STATE OF FLORIDA PURCHASING CARD PROGRAM
User Profile Information Form
ACTION REQUESTED:
Add
Change/Other
Name Change
Close Account
Maintenance
Select Option
Deactivate
Other, please describe:
ROLE:
Accountholder
Scoped Administrator
Approver
Accountant
Auditor
USER PROFILE:
GROUP NAME:
ROLE:*
Group:
Agency:
First Name:
Division/Bureau:
Last Name:
Business Address:
Email Address:
Login Name (same as Email Address):
City, State & Zip:
A/P Payee ID (Site Code):
Card Mailing Address:
User Profile ID (4 digit OLO + PF ID):
User Phone Number:
City, State & Zip:
ACCOUNTHOLDER PROFILE:
ACCOUNT DEFAULT ALLOCATION CODES:
(Optional)
Account Name:
GL02: Organization - EO -
Account Nickname:
GL03: Object Code -
Account Relation: Individual
GL04: Sub-Vendor - Admin will populate
Spend Control Profile:
GL07: OCA -
Accounting Code:
GL08: Contract -
Verification ID: Field will populate from the User Profile ID
GL09: Grant -
*If the User is assigned to more than one Role, identify
*Justification must be provided for a STL over $1,500 and must be
GL10: Project ID -
the Role assigned for each Group.
approved by the agency head or designee.
FOR USE BY PCARD ADMINISTRATOR ONLY
PCard Training Date:
Accountholder Agreement Date Signed:
Works Training Date:
Works User Agreement Date Signed:
User's Signature:
DATE:
Supervisor's Name (Print):
DATE:
Supervisor's Signature:
DATE:
Scoped Administrator's Approval:
DATE:
Clear Form
Save As..
Print
STATE OF FLORIDA PURCHASING CARD PROGRAM
User Profile Information Form
ACTION REQUESTED:
Add
Change/Other
Name Change
Close Account
Maintenance
Select Option
Deactivate
Other, please describe:
ROLE:
Accountholder
Scoped Administrator
Approver
Accountant
Auditor
USER PROFILE:
GROUP NAME:
ROLE:*
Group:
Agency:
First Name:
Division/Bureau:
Last Name:
Business Address:
Email Address:
Login Name (same as Email Address):
City, State & Zip:
A/P Payee ID (Site Code):
Card Mailing Address:
User Profile ID (4 digit OLO + PF ID):
User Phone Number:
City, State & Zip:
ACCOUNTHOLDER PROFILE:
ACCOUNT DEFAULT ALLOCATION CODES:
(Optional)
Account Name:
GL02: Organization - EO -
Account Nickname:
GL03: Object Code -
Account Relation: Individual
GL04: Sub-Vendor - Admin will populate
Spend Control Profile:
GL07: OCA -
Accounting Code:
GL08: Contract -
Verification ID: Field will populate from the User Profile ID
GL09: Grant -
*If the User is assigned to more than one Role, identify
*Justification must be provided for a STL over $1,500 and must be
GL10: Project ID -
the Role assigned for each Group.
approved by the agency head or designee.
FOR USE BY PCARD ADMINISTRATOR ONLY
PCard Training Date:
Accountholder Agreement Date Signed:
Works Training Date:
Works User Agreement Date Signed:
User's Signature:
DATE:
Supervisor's Name (Print):
DATE:
Supervisor's Signature:
DATE:
Scoped Administrator's Approval:
DATE:
Clear Form
Save As..
Print