8H003 Request to Purchase

For Business Officer Use Only: Link to Document Log

For Business Officer Use Only: Link to Tables

Date:

Enter Form Preparer's Name *

Grad Student/Other Form Preparer's Name

Enter Form Preparer's Email *

Please Verify Email

PI Information:

This purchase will be charged to: *

a PI grant account, startup account, professorship, etc... Department Account (general funds, enrichment, income, etc...)

Are you the PI/responsible person for approving the charges on the account? *

Yes No

This purchase is on a department account. Is the purchase for you? *

Yes No Purchase is for a department admin expense.

Is the purchase greater than $500? *

Yes No

Who is the PI/ or responsible for approving this request? *

Approval Flow:

PI Email/Responsible Person

Please Verify Email

Supervisor Approval > $500

example@example.com

Business Office Email *

example@example.com

Business Office - Purchaser *

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

Reason this order is urgent/preapproval wasn't obtained.

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

Vendor/Reimbursee *

The following vendors are SRM vendors and should be considered first before using other vendors: Grainger, Sigma, Dell, CDW, Fisher, Thermo-Fisher, VWR, and Office Depot.

Do you want to include Vendor/Reimbursee Contact/Mailing information?

Yes No

Vendor /Reimbursee Contact Info (optional)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Delivery Type

Customer Rep contact (optional)

Account # (During the approval process, the PI will be required to verify account # or enter account # if vacant)

Request to Purchase

	Description of Item	Part #	Qty	Unit	Estimated Amount	Expense Type
Item #1
Item #2
Item #3
Item #4
Item #5

Total

Enter web link, cart, etc....

Attach Documents, if needed. NOTE: If reimbursement, the following Employee Expense Reimbursement Form must be prepared and attached.

Browse Files

Link to Employee Expense Reimbursement Form

JV #

Check Transmittal

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

8H300- Civil Request to Purchase