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:

• Check Register
• Credit Card Discount Fees and Rate Sheet
• Credit Card Processing Methods - Quick Reference Chart
• Departmental Cash Handling Request Form
• Departmental Cash Handling Security Policy
• Deposit Transmittal Form

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

• Processing Cash Payments
• Cash Handling and Management

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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For technical/design issues or questions, contact the Financial Affairs Webmaster.

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