8H003 Request to Purchase

Date:

Form Preparer's Name

First NameLast Name

Enter Form Preparer's Email

Please Verify Email

How will the purchase be made:

This purchase will be charged to:

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

Is the purchase greater than $2,000?

Who is the PI/ or responsible for approving this request? (KTC- ENTER Civil PI Name)

Approval Flow:

Enter PI Email/Responsible Person (Students: This should be the faculty member's email address.)

Please Verify Email

Supervisor Approval > $2,000

example@example.com

Business Office Email

example@example.com

Business Office - Purchaser

Business Office - Reconciler

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

Please provide a justification as to why prior approval wasn't obtained.

Account #

(Please work with your supervisor to determine the appropriate account number before submitting this form.)

Vendor/Reimbursee

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

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

Vendor /Reimbursee Contact Info (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Customer Rep contact (optional)

Shipping Method

Items Requesting to be Purchased:

Rows	Product Number	Item Description	Price	Unit	Quantity	Total	Expense Type
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item 10

Total Requested

Please provide the business justification for this order to include 1) what this item is for and how you will be using it, 2) how this purchase will benefit your research, the department, and UK.

Please send all AMAZON links or large links directly to your business officer. If you enter a large link here, the form will not process.

Attach Documents, if needed. (Quotes, receipts, invoices...) NOTE: If this is for a reimbursement, the following Employee Expense Reimbursement Form must be prepared and attached.

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