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Financial Affairs

Credit Card Payment Form


Description: Used by departments that process credit card payments via Fiscal Services.

Last Revised On: 01/02/2012

Owner/Host: Fiscal Services

Download File: PDF

Related Forms/Worksheets:

Related Financial Management Operational Guideline(s) (FMOG):

Revision History:

  • 01/02/2012: Changed the credit card payment convenience fee (i.e. discount charge) from 1.855% to 2.0%.

  • 10/04/2010: Modified the instructions section regarding sharing cardholder data.

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