8H003 Request to Purchase

For Business Officer Use Only:

Link to Table for Request to Purchase & Travel

Date:

Enter Form Preparer's Name

Grad Student/Other Form Preparer's Name

Enter Form Preparer's Email

Please Verify Email

Are you purchasing chemicals?

PI Information:

This purchase will be charged to:

Is Chair approval needed?

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

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

Who is the PI/Faculty approver?

PI Email

Please Verify Email

Supervisor Approval

Chair approval for department purchases

Business Office Email

example@example.com

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

Reason why 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

Is this request related to shipping services?

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.

Company Name

Vendor/Reimbursee Contact Info (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Name

Contact Phone Number

Area CodePhone Number

Contact Email

example@example.com

Customer Rep Contact Additional Info:

Delivery Type

Select Account #

Enter Acct # if not listed:

Request to Purchase

Rows	Description of Item	Part #	Qty	Unit	Price Each	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 requesting a reimbursement, please attach the Employee Expense Reimbursement Form (link below).

Browse Files

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

8H200-1 CME- Request to Purchase