Purchase Requisition Form
Date
-
Month
-
Day
Year
What is the action on this PRF?
FYI to Finance - I used the HQ Credit Card. Please secure balance.
FYI to Finance - I need a check to complete purchase.
Purchasing - please order for customer.
Purchasing - please order for office use
What is the product for?
Office use/Non asset
Office use/asset
Customer Job
If internal asset, who is it for?
Name
Department
If job purchase, which customer?
Name
Job #/Project Code
When do you need the product?
-
Mese
-
Giorno
Anno
Vendor Information
Vendor Name
Vendor Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vendor Phone Number
-
Area Code
Phone Number
Vendor Email
example@example.com
Contact Person
Receiving Information
How are you to receive the product?
Will call/Pick-up
Ship
Provide shipping details?
Ship To Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Email
example@example.com
Contact Number
-
Area Code
Phone Number
Shipping Via
Back
Next
Shipping Amount
Enter Amount
Sales Tax
Enter percentage value
Sales Tax Amount
Total Amount
Employee Name
First Name
Last Name
Employee Email
example@example.com
Employee Signature
Submit
Items to Order
Item Code
Item
Description
Qty
Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sub Total
Particulars
Item Code
Item
Description
Qty
Amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Sub Total
Discount option
Percentage
Amount
Discount (rate)
Enter percentage
Discount (value)
Enter value
Discount
Shipping Amount
Enter Amount
Sales Tax
Enter percentage value
Sales Tax Amount
Total Amount
Should be Empty: