The University of Texas at Austin

Travel Credit Card Program Authorization Agreement

Card Type: Hotel Conference/Meeting Card – University Liability Program

It is the responsibility of the Hotel Conference/Meeting credit card holder to ensure proper use of the

card and ensure 30-day prompt payment to Citibank. Citibank will suspend accounts that are 60 days

past due and will permanently close accounts that are 90 days past due.

 Grocery stores, supermarkets

 Bakeries

 Caterers

 Restaurants

By signing this agreement, I agree that I understand the proper use of this departmental Hotel

Conference/Meeting card. If the card is lost or stolen, I must immediately notify Citibank by calling 1-

800-248-4553. I must also contact the university’s Travel Management Services office at

[email protected].edu. Losses incurred before notification of a lost card must be paid by the

department.

Should a cardholder terminate employment, the Travel Management Services office must be notified at

Cardholder Signature: ________________________________________ Date: _________________

Cardholder Printed Name: _______________________________________

Card Type: Hotel Conference/Event Card – Department Liability Program

Please initial each statement

_____ I understand that it is my responsibility as the cardholder to keep all receipts and turn them in, in

a timely manner.

_____ I understand if my credit card statement has not been paid, and payment has not been posted to

_____ I understand that this credit card program is for HOTEL CONFERENCE/MEETING CARD expenses

only.

_____ I understand airfare cannot be placed on this card.

_____ I understand that as the cardholder, I will need to activate my card once I receive it from Travel

Management Services.

_____ I understand that as the cardholder, I must create a unique PIN when activating my card.

_____ If I terminate employment or secure a position in another department, I must notify Travel

Management Services to have the card canceled and reapply for a new card under the new department.

_____ I understand if the card is no longer needed, i.e. was needed just for a short period of time, I must

contact Travel Management Services to cancel the account. The accounts do not automatically close.

_____ If the card is being used internationally, I understand that I must notify Travel Management

Services with my travel dates and destinations, prior to departure.

The University of Texas at Austin

Citi Hotel/Conference Credit Card Application

Name on Card: _______________________________________________________________

Contact Phone: _____________________ Contact email: _____________________________

Department/School: __________________________________________________________

Department U.S. mailing address: _______________________________________________

___________________________________________________________________________

Campus Mail Code: _____________

Personal access code (four numerical digits):__________

Department FedEx Account # ____________________________ Required

Delivery Address if different from Department:

______________________________________________________________________

______________________________________________________________________

Phone: ______________________

Signature: __________________________________________Date: _______________

Print or Type Name: ________________________________________________________

Please return both completed forms to Travel Management Services, [email protected]

 No, these cards are department liability cards and do not affect the cardholder’s credit score nor

 The credit limits can be increased by Travel Management Services only. Please email the

 Once you have received the credit card statement, you or your department administrative

 Citibank’s VID is:

 Mark “X” for separate check.

 Make sure to include the cardholder’s name and last six digits of the card number in the

 Please contact the Office of Accounting Travel Services with any further questions regarding

 Departments/cardholders are responsible for following UT Austin procurement, contracting,