Purchase Requisition Form

E-Purchase Requisition Form

Delaware State University Foundation Inc. 1200 N. Dupont Hwy., Dover, DE 19901
Requestor's Name*

First NameLast Name
Department Name's*
E-mail*
Contact Number*

Area CodePhone Number
Vendor's Name*
Vendor Status - Is this vendor a full-time staff member of Delaware State University, If yes, effective 7/1/24, you must complete a PAF to process staff additional pay?*

YesNo
Vendors' EIN or SSN - (D100# not acceptable) *
Incorrect EIN/SSN will delay processing!
Vendor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the total amount of the attached Invoice?*
Please upload quote or invoice or other required documentation - REQUIRED *

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Cancelof
Purpose for Purchase*
Payment Source - please select a method of payment*
For direct deposit - a secure direct deposit e-form will be emailed to vendor.
Vendor's Email for Direct Deposit
The Foundation will email a secure direct deposit e-form to vendor.
Account number to charge to?*
Foundation Account Number Only
Department Head's or Direct Supervisor's Name - required *

First NameLast Name
Department Head or Direct Supervisor's Email - required *
example@example.com
Please upload a signed statement from your department head or supervisor authorizing your request and the amount.*

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THIS IS A REQUIREMENT BEFORE REQUISTION CAN BE PROCESSED Cancelof
PLEASE READ!

In order for the University Foundation Finance Department to serve you accurately and timely, please assist by following guidelines.
- Complete an accurate requisition.
- Provide all requested documentation.
- Requisitions are processed in the order received.
- New vendors must provide a W9 before payment is processed.
Reasons for delays:
- Missing EIN (D#s are not acceptable)
- Missing W9 (new vendors)
- Missing a quote or invoice
- Missing department head authorization or signature
- Lack of funds
Your cooperation is appreciated.
Did You Read and Understand the Guidelines?*
Signature of Requestor.*

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Should be Empty:

E-Purchase Requisition Form