Fuel Card Order / Reissue / Cancellation Form

Fuel Card Order / Reissue / Cancellation Form
To order/cancel a fuel card, please fill out the below information. To request a printable form, please email fuel.nz@ubteam.com.

Please note: All active fuel cards incur an annual fee of $15. This covers the admin costs, postage, and replacement cards.
Date

Day Month Year
UBT Account name *
UBT Customer code (if known)
What would you like to do today? *

Order a new fuel card Cancel an existing fuel card Edit a fuel card
Fuel supplier *

Z Business (Z, Caltex & Challange) BP Mobil
Vehicle/driver specific *

Vehicle specific Driver specific
Vehicle description *
Vehicle registration *
Driver name *
Pin number *
Odometer required

Yes
Product limit *

All purchases Premium (95) Regular (91) Diesel Lubricants LPG Wash Services Shop Bottled LPG Diesel Exhaust Fluid
Dollar limit *
Caltex, Mobil & Z are daily limits and BP is transaction limit.
Monthly dollar limit (optional)
Monthly dollar limit is not available on BP cards.
Please select if you wish to insure your new card(s) with GuardCard. This service covers fraudulent activity on your card for losses up to 20,000 litres per card, and is only $1.20 excl. GST per card, per month. *

Yes, please insure the new card(s) with GuardCard No, please do not insure the new card(s) with GuardCard
Click here if you would like to order another card with different details

Yes
Fuel supplier *

Z Business (Z, Caltex & Challange) BP Mobil
Vehicle/driver specific *

Vehicle specific Driver specific
Vehicle description *
Vehicle registration *
Driver name *
Pin number *
Odometer required

Yes
Product limit *

All purchases Premium Regular Diesel Lubricants LPG Wash Services Shop Bottled LPG Diesel Exhaust Fluid
Dollar limit *
Z & Mobil cards are daily limits and BP cards is transaction limit.
Monthly dollar limit (optional)
Monthly dollar limit is not available on BP cards.
Please select if you wish to insure your new card(s) with GuardCard. This service covers fraudulent activity on your card for losses up to 20,000 litres per card, and is only $1.20 excl. GST per month. *

Yes, please insure the new card(s) with GuardCard No, please do not insure the new card(s) with GuardCard
Details of card(s) to cancel *
Reason of cancellation *

Lost Damaged Vehicle stolen Vehicle sold No longer required
Do you want a replacement card? *

Yes No
Fuel supplier *

Z Business (Z, Caltex & Challange) BP Mobil
Fuel card number *
Please write down new driver name OR vehicle details (if required)
New pin number (if required)
Please select new purchase limit (if required)

All purchases Premium Regular Diesel Lubricants LPG Wash Services Shop Bottled LPG
New dollar limit (if required)
Please note: the change(s) that you are wanting to make to your card means we have to order a new card. There will be no charge for this since it is a replacement card.
Please choose out of the options regarding cancelling your old card *

Cancel the old card now I will submit a cancellation request once I receive the new card
Name of person filling out this form *

First Name Last Name
E-mail *
Delivery address *

Street Address

Street Address Line 2

City
Delivery address contact name

First Name Last Name
How would you rate our fuel card ordering/cancellation system?
We know you are busy and we want to make this job faster and simpler for you. Please let us know if there is anything we can do to improve our fuel card ordering/cancellation system. Thank you!
Any further enquiries? Please contact Fuel Your School on 0800 UBT 123 or email fuel.nz@ubteam.com.
Should be Empty: