8H400 ECE Request to Purchase (8/18/22)

ATTENTION: This form is now outdated. A new updated ECE Request to Purchase form is available here: https://form.jotform.com/243053952814154

Date:

Select Form Preparer's Name*

Grad Student/Other Form Preparer's Name

Enter Form Preparer's Email*

Please Verify Email

This purchase will be charged to:*

GRANT ACCOUNT (account number starts with a '3')OTHER ACCOUNT (account number starts with a '1')

WOULD YOU LIKE THE BUSINESS OFFICE TO PURCHASE THE ITEM(S) FOR YOU?*

YesNo

Are you the PI/responsible person for approving the charges on this account? (students & temps select "no")*

YesNo

This purchase is on a department account. Is the purchase for you? (students and temps select "no"*

YesNo

Who is the PI/Faculty or Staff Employee Responsible for this purchase?

Current Approval Flow:

PI Email or Staff Member responsible for approving this purchase:

Please Verify Email

Chair Email Address

Chair approval for department expenses

Business Officer Email-1

example@example.com

R. Hannigan 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*

Do you want to include the vendor contact information

YesNo

Vendor/Reimbursee Contact Info (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Customer Rep Contact Info:

Delivery Type

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.

Account # *

Request to Purchase

	Description of Item	Part #	Qty	Per Unit Cost	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

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

8H400 ECE- Request to Purchase