Funding Request Proposal Form
This form is to be used to submit requests for one-time expenses, emergencies, unexpected expenses, planned upgrades, or special one-time projects. This form includes all the necessary fields to gather the required information for justification, bids, and approval.
General Information
Request Title:
*
Date of Submission:
-
Month
-
Day
Year
Date
Requestor Name:
*
First Name
Last Name
Department
Email Address
*
example@example.com
Office Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Request
Category
*
Emergency
Unexpected Expense
Planned Upgrade
Special One-Time Project
Requested Funds
Total Amount Requested:
*
Dollar amount.
Purpose of Request:
*
Brief description.
Justification for Request
Description of the Situation:
*
Explain why the funds are required - emergency, unexpected, planned upgrade, special project.
Urgency/Importance:
*
Why the request is time-sensitive, if applicable.
Impact of Funding:
*
Expected benefits or improvements.
Risks of Not Funding:
*
Consequences if not approved.
Bids and Cost Estimates
Vendor/Service Providers and Bid/Quote Details:
Rows
Vendor Name
Service/Product
Cost
Delivery/Completion Time
Reason for Selection (if applicable)
Bid/Quote #1
Bid/Quote #2
Bid/Quote #3
If you are unable to obtain 3 bids, please let us know why.
Additional Information
Timeline for Fund Utilization:
*
Estimated timelines and important deadlines.
Additional Notes/Information:
Other relevant details or considerations.
Signatures and Approvals
By signing this form, you are acknowledging that you have approval from your immediate supervisor.
Signature
*
Submit
Should be Empty: