Procurement Card Application
Change of Department
 

EMPLOYEE INFORMATION
5151 State University Dr.
Los Angeles CA 90032-4226

COMPANY INFORMATION
California State University, Los Angeles
5151 State University Dr., ADM-514
Los Angeles, CA 90032-4226

EMPLOYEE
Signature of Applicant *
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* PLEASE RETURN TO OFFICE OF PROCUREMENT AND CONTRACTS, ADM-501. PLEASE CONTACT 323/343-3487 MARINA JAUREGUI, PROGRAM ADMINISTRATOR, IF YOU HAVE QUESTIONS. YOUR CARD SHOULD ARRIVE WITHIN 5 BUSINESS DAYS, AT WHICH TIME YOU WILL BE CONTACTED.
(Rev. 03/15)