Va Form 0933 - Statement Of Understanding For The Government Travel Charge Card Program
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1STATEMENT OF UNDERSTANDING FOR THE GOVERNMENT
TRAVEL CHARGE CARD PROGRAM
I understand the Government Travel Charge Card Program is designed to improve the management and control of Government
travel and thereby promote the efficiency of the Federal Service. I also understand I am authorized to use the Travel Card only
for those necessary and reasonable expenses incurred by me for official travel. I will abide by these instructions issued by the
Department of Veterans Affairs (VA). The above limitation on Travel Card use also applies to automatic teller machine
(ATM) withdrawals. The amount of cash withdrawals may not exceed the allowable per diem amounts. I will, however, charge
expenses to the account wherever feasible rather than use cash withdrawals. I understand the issuance of this Travel Card to
me is an extension of the employee-employer relationship, and I am being specifically directed to:
(Card applicants must initial all the following provisions.)
Abide by all rules and regulations with respect to the Travel Card Program.
Use the Travel Card only for official travel.
Not use my Travel Card to make ATM withdrawals unless authorized in accordance with VA Travel Card Policy.
Use the mandatory split disbursement feature on the VA travel system expense voucher for the total authorized
charges made to the Travel Card.
Pay outstanding balance in full identified on the monthly billing statement from the Travel Card Contractor Bank by
due date. Balance is due even if expense voucher has not been submitted.
Notify the A/OPC of any problems with respect to my use of the Travel Card.
File a dispute with the bank in a timely manner (within 90 days of charge per contract) for unauthorized charges.
Notify the Card Contractor (bank) and my A/OPC if my Travel Card is lost or stolen
Notify the Card Contractor (bank) if my address changes.
I also understand failure on my part to abide by these rules or other misuse of the Travel Card may result in disciplinary and or
administrative action being taken against me. I also acknowledge the right of the Travel Card Contractor Bank and/or A/OPC
to revoke or suspend my Travel Card privileges if I fail to abide by the terms of this agreement or the agreement I have signed
with the Travel Card Contractor Bank.
Note. The Travel Card application cannot be processed without this form on file.
APPLICANT'S SIGNATURE
DATE
APPLICANT'S PRINTED NAME
APPLICANT'S TITLE
SUPERVISOR'S SIGNATURE
DATE
SUPERVISOR'S PRINTED NAME
SUPERVISOR'S TITLE
A/OPC'S SIGNATURE
DATE
A/OPC'S PRINTED NAME
A/OPC'S TITLE
0933
VA FORM
DEC 2012
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