Supplement C "Traveler Agreement - Purchasing Card Program" - Florida

What Is Supplement C?

This is a legal form that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2022;
  • The latest edition provided by the Florida Department of Juvenile Justice;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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

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Download Supplement C "Traveler Agreement - Purchasing Card Program" - Florida

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State of Florida Purchasing Card Program
Traveler Agreement
I AGREE TO THE FOLLOWING REGARDING TRAVEL ARRANGED FOR ME USING THE FLORIDA
PURCHASING CARD.
I understand that I may incur only 100 percent reimbursable travel expenses.
1)
I have been provided information on allowable charges that I may incur.
2)
I understand that under no circumstances will I make personal purchases, either for myself or others, on the
3)
purchasing card account. Using the purchasing card account for personal gain or unauthorized use may
result in disciplinary actions up to and including termination of employment and/or prosecution to the extent
permitted by law.
I will follow Florida Law, travel policies of my employing or authorizing agency, and the established
4)
guidelines for using the Purchasing Card. Failure to do so may result in either revocation of travel privileges
using the purchasing card or other disciplinary action.
I have been provided a copy of the Purchasing Card Travel Instructions and understand the Purchasing
5)
Card Program travel procedures. I have been given an opportunity to ask any questions to clarify my
understanding of the Purchasing Card Program.
I understand the requirements to promptly notify the authorizing accountholder of any cancellations (with
6)
cancellation numbers) in order to avoid costs to the state for unused reservations.
I agree to maintain all required information and receipts, and to provide the original copies to the authorizing
7)
accountholder not later than one (1) working day after completing my travel.
I understand that I am required to submit a completed Voucher for Reimbursement of Travel Expenses
8)
within five (5) working days of the last day of travel showing purchasing card transactions and all other
expenses which I may claim even though the net amount due to me is zero.
I agree that, should I violate the terms of my Agreement, I will reimburse the State of Florida for all incurred
9)
charges and any costs related to the collection of such charges. Additionally, any such charges that I owe
the State may be deducted from any money which would otherwise be due and owing me, including salary
or wages, in accordance with Rule 3A-21.004, F.A.C.
___________________________________________
________________________________________
Traveler’s Signature/Date
Authorizing Accountholder’s Signature/Date
___________________________________________
________________________________________
Print Traveler’s Name
Print Accountholder’s Name
Telephone Number:
Telephone Number:
Supplement C/Feb. '22
State of Florida Purchasing Card Program
Traveler Agreement
I AGREE TO THE FOLLOWING REGARDING TRAVEL ARRANGED FOR ME USING THE FLORIDA
PURCHASING CARD.
I understand that I may incur only 100 percent reimbursable travel expenses.
1)
I have been provided information on allowable charges that I may incur.
2)
I understand that under no circumstances will I make personal purchases, either for myself or others, on the
3)
purchasing card account. Using the purchasing card account for personal gain or unauthorized use may
result in disciplinary actions up to and including termination of employment and/or prosecution to the extent
permitted by law.
I will follow Florida Law, travel policies of my employing or authorizing agency, and the established
4)
guidelines for using the Purchasing Card. Failure to do so may result in either revocation of travel privileges
using the purchasing card or other disciplinary action.
I have been provided a copy of the Purchasing Card Travel Instructions and understand the Purchasing
5)
Card Program travel procedures. I have been given an opportunity to ask any questions to clarify my
understanding of the Purchasing Card Program.
I understand the requirements to promptly notify the authorizing accountholder of any cancellations (with
6)
cancellation numbers) in order to avoid costs to the state for unused reservations.
I agree to maintain all required information and receipts, and to provide the original copies to the authorizing
7)
accountholder not later than one (1) working day after completing my travel.
I understand that I am required to submit a completed Voucher for Reimbursement of Travel Expenses
8)
within five (5) working days of the last day of travel showing purchasing card transactions and all other
expenses which I may claim even though the net amount due to me is zero.
I agree that, should I violate the terms of my Agreement, I will reimburse the State of Florida for all incurred
9)
charges and any costs related to the collection of such charges. Additionally, any such charges that I owe
the State may be deducted from any money which would otherwise be due and owing me, including salary
or wages, in accordance with Rule 3A-21.004, F.A.C.
___________________________________________
________________________________________
Traveler’s Signature/Date
Authorizing Accountholder’s Signature/Date
___________________________________________
________________________________________
Print Traveler’s Name
Print Accountholder’s Name
Telephone Number:
Telephone Number:
Supplement C/Feb. '22