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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: 06/26/2014

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

Download File: PDF

Related Forms/Worksheets:

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

Revision History:

  • 06/26/2014: Updated DEFINE information for transition to PeopleSoft.

  • 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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