Transaction Management Delegation Form
US Bank Card 16 digit account number Cardholder name
Delegate Information (if different than name of cardholder)
First Name Last Name
Stout Employee #
Campus Address
Business Phone
Department account number associated with the card
*********************************************
I request that the above individual or the above delegate be given reallocation authority for Pro-Travel card expenditures via US Bank Access Online Transaction Management system .
Business Manager _______________________________________ Date __________
Cardholder's Supervisor_______________________________________ Date __________
Dean or Approving Authority_______________________________________ Date __________
User ID Password