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Request for a Procard


Name of person making this request.

Date of your request.

Category of Purchase

What type of index will this purchase be deducted from?

Travel

Will you be using the Procard to make purchases for a trip?

If you will not be using the Procard for travel purposes, please scroll down the page to "Use of Purchase" and continue filling out the information.

If the Procard will be used for travel purposes please continue filling out the following information. If you do not know your exact travel dates, please estimate when you get to that question.

Domestic, International, Combination Travel

Will this trip be domestic, international or a combination of both?

Student Travel

Will there be a student(s) accompanying you?

Student Travel Expenses

Will you also be using the Procard to pay for the student's travel expenses?

The name(s) of the person(s) who will be traveling and note if they are faculty, staff or student.

What are the start and end dates of the trip?

What is the destination of this trip? If more than one, please name all.

What is the reason you are going on this trip?

Presenting?

Will you be presenting on this trip? Will the student be presenting on this trip? Please check all that apply.

What will this purchase be used for? Lab supplies, research supplies, course supplies, etc.

What date would you like to pick up the Procard?

By clicking “Submit” below you agree to provide a receipt, invoice, etc. of the purchase, or you will inform the Office Coordinator that you will email the receipt, invoice, etc. to them at catherine.uranga@wku.edu.


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 Last Modified 9/9/25