Skip to Search Skip to Navigation Skip to Content

Financial Affairs Forms Details

Credit Card Payment Form

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

Last Revised On: 08/01/2016

Owner/Host: Fiscal Services

Download File: PDF

Related Forms/Worksheets:

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

Revision History:

  • 08/01/2016: 2.25% Credit Card Charge added throughout form.
  • 03/02/2016: Updated 'Important' section to include information about credit card convenience fee increase effective August 1st, 2016.
  • 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.

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

In All We Do, We Do With Excellence - Every Person - Every Day - Every Job