PROCUREMENT SERVICES
P-Card Restaurant Approval Form
This form authorizes the designated card for restaurant purchases. Cardholders must ensure that
all food purchases are made in accordance with the Appropriateness of Expenditures Policy
(Policy 204), that the requisite level of approval is obtained in writing prior to the purchase, and
that both a business purpose and list of individuals hosted is included for each purchase.
Cardholder:
Card Number (last 4 digits):
Reason for needing restaurant approval:
Length of approval:
 One-time purchase
 Permanent
 Other, specify length:
Justification for approval length:
Cardholder
Second Level/AVP/Dean
Vice President
Signature
Signature
Signature
Print Name
Print Name
Print Name
Date
Date
Date