Clone of P-Card Receipt Submission Form

PCard/Purchase Order Form
Name on Card used to make purchase if Pcard purchase:*
Name on P-Card*

First NameLast Name
Purchasers e-mail address:*
Is this a travel-related purchase?*

NoYes
Have you submitted a Travel Authorization Request?

NoYes
What is the Travel Authorization number?
Were these receipts submitted with the Travel Authorization?

NoYes
Type of travel?*

DomesticForeign
Is this a conference or event registration?

NoYes
Please upload a Blank Conference registration form/page or a Breakdown of the registration charges, if not submitted with the Travel Authorization. This is a UF requirement

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Is this a vehicle related purchase?*

NoState, fuel (yes)State, repair (yes)Rental (yes)
Please select vehicle number for fuel:*
Please provide rental agreement # and company name if not Avis/Budget*
Please select vehicle number for repair:*
Did you rent an economy or compact size car?*

YesNo
Provide reason a justification for renting a larger vehicle. *
Date purchased or request for Purchase order:*

MonthDayYear
Itemized list/Description of purchases:*
Please describe the business purpose to the state or specifically to the sponsored award (For Research, or a description of the items is not sufficient.) *
Total cost:*
Item(s) purchased:
Person/Professor the item was purchased for:
Source of funding (FULL ChartField or project number):*
Person making purchase (if different from above):
E-mail address of the person who purchased the item(s):
Upload receipts or quotes for purchase:

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Upload guest list (share funds only):

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PCard/Purchase Order Form