8H600 ISM Request to Purchase

Date:

Enter Form Preparer's Name*

Enter Form Preparer's Email*

Please Verify Email

Grad Student/Other Form Preparer's Name

PI INFORMATION

This purchase will be charged to:*

Grant AccountOther Account

Is the order total> $5,000?*

YesNo

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

YesNo

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

YesNo

Who is the PI/Faculty approver?*

Enter PI/Faculty approver name.

Enter PI/Faculty approver email

example@example.com

Approval Flow:

PI or Responsible Person Email*

Please Verify Email

Chair Approval*

Grant expenses>$5,000 and department expenses

8H600 Dana Harrod Email*

example@example.com

8H600 Business Office Email*

example@example.com

Is this a request for an urgent purchase or reimbursement (purchase already been made)? If yes, submit form and send email to dana.harrod@uky.edu*

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

Please provide a brief description of the purchased item or service.*

Vendor/Reimbursee*

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

IF REQUESTING A REIMBURSEMENT, THE EMPLOYEE EXPENSE REIMBURSEMENT FORM WITH RECEIPTS MUST BE ATTACHED.

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.

If submitting an Amazon order, please state why you are not using a contracted vendor (e.g., Amazon cost is lower, item not available from contracted vendor, or why the Amazon item is more appropriate for your purpose.

Would you like to include the vendor contact info?

YesNo

Vendor/Reimbursee Contact Info (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Select Delivery Type

Customer Rep Contact Info:

Account #

Account # if not on list

Request to Purchase

	Description of Item	Part #	Price	Unit	Qty	Total
Item #1
Item #2
Item #3
Item #4
Item #5
Item #6
Item #7
Item #8
Item #9

Total

Comments/Notes (e.g., vendor website url, shopping cart link, account info, etc...

Warning: Amazon links often cause the Jotform approval emails to be caught in a spam filter, and delay the approval process. Please either mask these links by using a URL shortener, such as TinyURL, or send the link via email instead.

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

Browse Files

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

8H600 ISM- Request to Purchase