(OSGA) Open Summer Bear Bucks Group Account I certify that I have read and understand the information displayed above. * Sign Selecting this option will display the entire form below. Do not submit this form without completing the below fields. Department Information Group/Department Name * Business Purpose * Requester Information Name * Phone Number * Email Address of Requester * Date * Certify that I am the requester indicated above and that I approve this request. * Sign Department/Group Approver Information Name * Email Address of Department Head * Card Functionality & Design What functionality are you requesting to be added to the cards? * Bear Bucks – Funded Temporary Cards Bear Bucks Funds Restriction Options * Unrestricted Bear Bucks Restricted—On-Campus Food Only Restricted—Sodexo Food Only Restricted—Daily Limited Inquire for a detailed list of terminals in each category. Funds View the starter file template: Download Template Additional specifications Timeline Funds Activation * Funds Deactivation * Holds will be placed on funds and card access will be disabled for all cards on this date. Activation time cannot exceed 2 years. Cost Summary Total Loaded Bear Bucks $ Total Bill to Department Submit If you are human, leave this field blank.