Third Party Funds Request
***All requests must go through the Third Party Fund Approval Committee
Process:
Provide information related to item(s) being requested including photo, description, and pricing
Complete this request form.
Complete MSA order form and upload as requested below.
Include item number and other helpful indentifying information.
If item(s) are found on Amazon, include pricing from Amazon AND if possible, information and pricing from another company.
Use of credit cards for payment is much harder for Financial Services department to track
Discuss requests with your supervisor for other possible fund sources. Complete this section on this request form.
If there are no other funding sources available, complete the section on the request form.
Submitted requests will be sent to supervisor for approval and then to Karlene Bleninger to schedule for review with the TPB Funds Committee.
Karlene will notify you of the results from the committee meeting.
Date:
*
-
Month
-
Day
Year
Date Picker Icon
Name of person making request:
*
Requester email:
*
example@example.com
Description of proposed purchase:
*
Upload completed MSA Purchase Order Form:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload photo, description, pricing information:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Cost:
*
Who would it benefit and how?
*
Are there other potential funding sources for this purchase ? (Please list):
*
Supervisor contacted?
*
Yes
No
Supervisor email:
*
example@example.com
Submit
Should be Empty: