Air Card Agreement (ACA)
Procurement and Contract Services • Travel
AGREEMENT FOR USE OF DEPARTMENTAL AIR CARD
By my signature below, I agree to the following terms restricting the use of the TWU Departmental Air Card:
1.
2.
3.
4.
I understand that I am requesting authorization to use the Air Card issued to my department.
I understand that the Department Air Card can NEVER be used to make personal or non‐work related
purchases, either for myself or others. I understand that making such unauthorized purchases will result in
CANCELLATION of the departmental card as well as investigation that could have ramifications affecting my
continued employment with the University.
I understand that all required documentation MUST be emailed to [email protected] by the
monthly deadline specified in Procurement and Contract Services policies or all expenses will be charged to the
default account number provided below.
I understand that failure to complete the reporting requirements will result in the SUSPENSION or CANCELLATION
of the Air Card.
AUTHORIZATION/ACKNOWLEDGEMENT
Primary Administrator (Printed)
Department
Secondary Administrator Name (Printed)
Department
Primary Administrator Signature
Secondary Administrator Signature
Dept. Head Authorization Name (Printed)
___________________________
Default Account Number
Dept. Head Authorization Signature
TWUOFFICIAL USE ONLY
I certify that I received the Departmental Air Card on the date indicated below.
Signature
Date
Type of ID presented
Card Released By
I certify that I have verified the employment status of the administrators named above.
Signature
Procurement and.Contract.Services
P.O. Box 425439 / Bralley Annex • Denton, TX 76204-5439 • P: 940-898-3812 • F: 940-898-3519
Rev: 10/16