Get Lost Or Stolen Procard Notification Form

Filing a Lost or Stolen ProCard Notification Form is an essential step in managing your ProCard account. This guide provides clear, step-by-step instructions for filling out the form accurately and efficiently online.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to access the Lost or Stolen ProCard Notification Form and open it.
2. Begin filling out the required information by entering the name of the cardholder in the designated field.
3. Input the last four digits of the lost or stolen card to help identify the specific card.
4. Enter the UHV Cost Center assigned to this card, which is essential for proper record-keeping and accountability.
5. Fill in the department name to associate the request with the correct organizational unit.
6. Provide the supervisor’s name and contact number, ensuring that there is a point of contact for any follow-up.
7. Indicate the card status by checking one of the options: Lost, Stolen, or Destroyed.
8. Record the date and time of the incident to establish when the card is believed to have been lost or stolen.
9. Indicate whether law enforcement was notified by marking the appropriate option (Yes or No).
10. Confirm whether UHV Program Administrators were notified by checking Yes or No and providing the necessary contacts.
11. Specify if CitiBank was notified by selecting Yes or No.
12. Provide a detailed account of the events surrounding the loss or theft of the ProCard in the space provided.
13. Fill in the section regarding 'Who' and the dates and times for any relevant notifications made during the incident.
14. Sign and date the cardholder's signature section at the bottom of the form.
15. Require the supervisor's signature and date in their respective section.
16. If applicable, have the supervisor initial the approval for reissuing the card.
17. Review the completed form for any errors before finalizing.
18. Save changes, download, print, or share the completed form as needed.

Complete your Lost or Stolen ProCard Notification Form online today.