Financial Affairs

Corporate Liability Individual Billed Account (CLIBA) Cardholder Application and Agreement Form

Description: Used by UTSA faculty, staff and student employees (Graduate Research Assistant) to apply for a CLIBA travel card to pay for allowable expenses while traveling on official UTSA business.

Last Revised On: 02/28/2012

Owner/Host: Procard/Travel Card Administration (PTCA)

Download File: PDF

Related Forms/Worksheets:

• Card Maintenance Request (CMR)
• Citibank® Commercial Cards - Add/Change Authorized to Inquire (ATI)
• Motor Vehicle Rental Exemption Certificate

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

• Travel Cards

Revision History:

• 02/28/2012: Changed Disbursements and Travel Services (DTS) instances to ProCard Travel Card Administration (PTCA) and changed SSN instances to UT EID.

• 06/21/2011: Modified the agreement section regarding travel advance requests (fifth bulleted item). Added a question to the Card Information section regarding departmental usage (question 3). Added a Department Name field to the Department Head/Supervisor Attestation section.

• 06/13/2011: Published new form to be effective on 08/15/11.

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