Molecular Foundry Division Procurement Requisition Form

Check eBuy before making a requisition request below. You will save time and the lowest procurement burden is applied to items purchased through the eBuy Marketplace (3%). Other methods can vary from 11% up to 25% in procurement burden.

If your item is a hazardous/hazmat chemical, or gas, please work with your PI or Activity lead to assist you with the additional CMS information that needs to be provided along with the requisition. Review the Help Guide FMS Haz Chemical/Gas Question and the Chemical Lifecycle Stewardship website for more information.

For any questions regarding this form or procurement, please contact Suksham Barun at sbarun@lbl.gov. Please contact David Hom at david_hom@lbl.gov for any service contracts and purchases over $10k.

Requester Email*

example@example.com

Requester Name*

First NameLast Name

Project ID and Activity Code*

Supervisor/PI Name at the Foundry*

First NameLast Name

Has this request approved by your PI/Supervisor?

YesNo

Please select if any one of the requested items are electrical

Electrical (>=50V) - Not NRTLElectrical (>=50V) - NRTLElectrical under 50VNot an Electrical Item

Desired Delivery Date

Date

Mailstop (this should be the requester or the recipient)*

Do you have a Quote or Website link for this requisition?*

QuoteWebsite LinkRepair QuoteOther

Requisition Description*

Quantity of the Item*

Requisition Description

Quantity of the Item

Requisition Description

Quantity of the Item

Website Link

Comments or Misc Information: Please let us know if any specific items need to be ordered from the quote.

Upload purchase quotes or any supporting documents in pdf relevant to your requisition:

Vendor Name and Contact Information

example@example.com