AMEX COPORATE T & E CARD
INTERNAL APPLICATION FORM & TERMS & CONDITIONS OF ISSUE OF AMEX CARD BY XEROX LTD
Employee Name: / Employee No:Cost Centre:
Company code: /
Department:
E-Mail Address:
/ Business Tel Number:Business Address:
1. I agree that the use of my AMEX Corporate Card is to be used strictly for normal business travel and expenses incurred by me.
2. I agree that my AMEX card shall not be used to make third party vendor purchases and that all spend shall be made through the appropriate purchasing process (ie PO) as per the XE Purchasing Directive.
3. I note that I am liable for any personal expenditure or any unauthorised use of AMEX card and must adhere to Xerox policies.
4. I must clear all AMEX charges by submitting an expense claim through E-Pay within 28 days from the Amex statement date as failure to do so will result in late charges, which cannot be reclaimed.
5. Xerox will pay AMEX any outstanding charges on my card that are in excess of 120 days old and that any such payments by Xerox shall be deducted from my salary.
6. If I leave Xerox all Amex charges must be cleared, as failure to do so will result in a deduction from salary.
Please complete
Employee Signature: / Date:Cost Centre Manager Signature: /
Date:
Cost Centre Manager Print Name:
Name of Manager’s Manager (Print):
/ Date:FSO AMEX Administrator Checklist
Amex Application Form CompleteXerox Terms & Conditions Signed
Control Account Assigned
Approval Checked
Application Sent to Amex (Date)
E-mail Distribution list updated