8H000 Request to Purchase

Date:

Form Preparer Name*

Form Preparer Email*

example@example.com

Is this item being requested for another person*

YesNo

Name of person requesting purchase:

Email of person requesting purchase:

example@example.com

Name of person placing the order:

Is this a routine preapproved purchase for the office? *Kitchen items such as drinks, cleaning, paper products, etc... *Office Supplies such as paper, pens, batteries, folders, postage, etc ... *Drinks and snacks for visitors and meetings.*

YesNo

Select Purchase Approver*

Carol White (V. PItts & C. Lane)Mary McBeath (R. Morefield & R. Buchheit)Rudy Buchheit (M. McBeath)

Select Business Officer (Bus Officer & Supervisor CANNOT be the same person)

Mary McBeath (V. Pitts & C. Lane)Carol White (R. Morefield, R. Buchhiet & M. McBeath)

Approval Flow-

Requester Email

example@example.com

Purchase Approver Email

example@example.com

Business Officer Email

example@example.com

Reconciler Email:

example@example.com

Is this a request for an urgent purchase or reimbursement (purchase that has already been made)?*

Reason why preapproval wasn't obtained.

Please provide the business justification for this order that defines how this purchase will benefits your research, the department, and/or UK.

Vendor/Reimbursee

Would you like to include the vendor address?

YesNo

Vendor Contact Info (optional) - include contact name.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Note:

SIO, if needed

DAC- 809000035823EGR 490 - 809000035822E-Day - 809000035842Hall of Distinction - 809000035742

Account #

Request to Purchase

	Description of Item	Estimated Amount	Expense Type	Acct#
Item #1
Item #2
Item #3
Item #4
Item #5
Item #6
Item #7
Item #8
Item #9
Item #10

Total

Enter item # and weblink, if needed.

Attach Documents, if needed. Note: If requesting a reimbursement, please attach the Employee Reimbursement Form (link below).

Link to Employee Reimbursement Form

Business Office approval is to ensure that all transactions are:

• authorized in accordance with the established approval authority,
• in compliance with University policies and procedures,
• allowable within the grant/contract budgets and/or the account being charged,
• recorded in the correct account, g/l, and cost object,
• recorded in a timely manner to the correct accounting period