If you have questions regarding the Cal Card VISA program, please contact Chris Wick at Ext. 2122.
Because of the change in the CalCard statements from the bank, it is necessary to add the following form to your statement when you
submit it to Business Services. Please complete the form online, if possible. You may also print the form and complete it manually.
Additional pages should be used, if necessary. If you have any problem
with the form, please contact Diane Cummins at Ext. 2754.
||Enter the date from your bank statement.
||Enter the date of the transaction listed on your statement. Use one line on the form for
each charge on your statement.
||Enter the type of purchase, i.e. Office Supplies, Travel, Memberships, Subscriptions, etc.
||Enter the account(s) to which this purchase will be charged. Use multiple lines, if necessary (see example below).
||Enter the total charges from your statement for that line. OR, if using multiple accounts,
indicate the amounts to be charged to each account.
|Sales Tax Paid
||If the Transaction Amount on your statement includes sales tax, check this box. Otherwise, use tax will be applied by
Accounts Payable for purchases of supplies and equipment from outside the State of California.
||This amount calculates the sum of the amounts from the Transaction Amount fields. It should
equal the total statement amount. OR, if you must use multiple pages, all page totals should equal the total statement amount.