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Privacy and Security Notice

Administrative Manual - 402 Travel

402.06 JSA/Jefferson Lab Travel Credit Card

Attachment 2: Corporate Card Agreement

Jefferson Science Associates, LLC (JSA)/ Thomas Jefferson National Accelerator Facility (Jefferson Lab)
12050 Jefferson Avenue
Newport News, VA 23606

JSA/Jefferson Lab is pleased to present you with a Bank of America Corporate Card.  It represents trust in you and your empowerment as a responsible agent to safeguard and protect company assets.

I, (1)                                                        , hereby acknowledge receipt of a JSA/Jefferson Lab Corporate card.  The card account number is (2)_________________________.  As a cardholder, I agree to comply with the terms and conditions of the Agreement received with this card and the Travel card policy as stated in Jefferson Lab’s Administrative Manual.

I acknowledge receipt of said Agreement and confirm that I have read and understand the terms and conditions.  I understand that JSA/Jefferson Lab is sponsoring the Bank of America Card.  I understand that I am solely responsible for all charges to my card and am responsible for sending payment to Bank of America to settle all charges in full by the payment due date.

I further understand that improper use of this card may result in disciplinary action up to and including termination of employment.  Should I fail to use the Corporate card properly, I authorize JSA/Jefferson Lab to deduct from my salary an amount equal to the total of any discrepancy on the card described above.  I also agree to allow JSA/Jefferson Lab to collect any amounts owed by me even if I am no longer employed by JSA/Jefferson Lab. 

Should I decide to discontinue use of this card and have it canceled it is understood I am not eligible for a travel advance.   Expenses associated with JLab business travel are entirely my responsibility until an expense report is submitted for reimbursement of allowable expenses upon my return. 

I understand that JSA/Jefferson Lab may terminate my right to use this card at any time for any reason.  I agree to return the card to JSA/Jefferson Lab immediately upon request or upon termination of employment.


Signature:_________________________  Date:_________________________

Print Name:_________________________  Phone:_________________________

JSA/Jefferson Lab Officer Approval:

Signature:_________________________  Date:_________________________

Print Name:_________________________  Phone:_________________________

(1) Cardholder's name as it appears on the travel credit card

(2) Account number as it appears on the travel credit card

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