UCLA Emarket Gateway Request Form 
Submit this form for a new Emarket Gateway. You will be required to create a MyUCLA Message Center case with the receipt here Emarket Inquiry Queue.
 
For more information, please visit our site regarding UCLA Cashiering Database Emarket Requests
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Email *
All Checkout requests require the following items and clearance prior to set up. *
For more information, please visit UCLA Treasury regarding PCI and Checkout requirements from Bank of America for all Emarket Checkouts.
Required
Please input your Employee University ID

(Ex. 9-digit Bruincard/UCLA Health ID) 
*
Department Main Contact Name:

(Ex. Dr. Josephine Bruin, Manager (she/her))
*
UCLA Email Address *
Please input the Income Full Accounting Unit - (FAU)

(Ex. 4-123456-A1-23456-DESCRIPTION)  
(Please note: income fund account number must begin with 1or 2)
*
If you have additional questions, please visit UCLA Finance for more information.

For questions regarding UCLA Accounting and Cash Management, please reach out to askacm@finance.ucla.edu and include the following:
- Specify you are requesting information regarding Emarket Storefront income and expense FAUs. 

Please input the Recharge Full Accounting Unit - (FAU) associated with all UCLA credit card transactions.

(Ex. 4-123456-A1-23456-XX-XXXX-DESCRIPTION)
*
Please Note: The current rate for the Campus Credit Card Fee is 0.3780% of gross credit card sales. For more information regarding recharges for Emarket Storefronts, please click Credit Card Fee FY or visit UCLA Treasury. 
Please include your department Refund Policy.
If not specified, will default to UCLA PSC Ecommerce Terms and Conditions
How often will the site be active?
*
If this site is one time use/periodic use, please insert deactivation date.
MM
/
DD
/
YYYY
Estimated Timeline for go-live *
Please note our service guarantee is 5 weeks from when the case has been received. 
MM
/
DD
/
YYYY
Business Customer Service phone number
(Ex. (111)-111-1111)
*
This is a requirement for payees to contact the department regarding services rendered. 
Please input the "Doing Business As" description that will showcase on a credit card statement.
(Ex. UCLA LAW SCHOOL TICKETS)
*
17 characters maximum (this displays on payers credit card statement with contact business phone #)
Business Physical Address 
(Ex. Box 957089, 1125 Murphy Hall
405 Hilgard Avenue
Los Angeles, CA 90095-7089)
*
Please estimate the average ticket item.

(Ex. $100)
*
Please estimate the average annual sales volume.

(Ex. $100,000)
*
Please select from the options regarding Merchant Identification Numbers (MIDs) *
A copy of your responses will be emailed to the address you provided.
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