8H755-IDEA: Purchasing Request Form

8H755-IDEA: Purchasing Request Form
Date:
Form Preparer Name*
Form Preparer Email*
Is the item(s) being purchased for you?*

YesNo
Requester's Name*
Requester's Email*
Who is purchasing the item(s)?*

I am purchasing the item(s).I am requesting the College Business Officer to PurchaseOther
Purchaser's Name
Purchaser's Email*
Is this a request for an Employee Reimbursement? If yes, the employee must fill out the Employee Reimbursement Form. The link is at the bottom of the page. Please attach the document to this request.*

YesNo
Name of Employee Requesting Reimbursement:

First NameLast Name
Employee Reimbursement Email
Vendor Name/Employee Name*
Account Number*
Please work with your manager to determine the appropriate account number before submitting this form.
Who will approve this request? (Enter Grant PI for Account Selected)*
1) Dr. Liu should select, Dean Rudy Buchheit. 2) Program Directors should select Dr. Liu. 3)All others should select appropriate grant PI for the project.
Enter PI's Email*

Items requesting to be purchased:*

	Item/Produce Code	Description	Price	Unit	Qty	Total	Expense Type
Item #1
Item #2
Item #3
Item #4
Item #5
Item #6
Item #7
Item #8
Item #9
Item #10

Total Requested
Reminder:
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.


Comments/Notes (vendor website, url, shopping cart link, account information, etc...)
Attach documents, if needed. (Attach Employee Expense Reimbursement Form, if requesting reimbursement to an employee.)

Cancelof
Is this a request for an urgent purchase (purchase already made)?*

YesNo
If yes, please provide a justification as to why prior approval wasn't obtained.
Please provide the business justification for this order to include 1) what this item is for and how you will be using it, 2) how this purchase will benefit your research, the department, and UK.*
Would you like to include the vendor address:

YesNo
Vendor Address*

Street Name

Contact Name

CityState

Zip Code
Would you like to include a "ship to" address? (Required)*

YesNo
Ship To Address*

Name

Address Including Room #

CityState

Zip Code
Approval Flow:
Approval- Requester*
Approval - PI*
Copy to Cindy Lane
example@example.com
Approval - Business Officer
example@example.com
Copy to Laine Putteet
example@example.com
Should be Empty: