Request Information
Date
*
-
Month
-
Day
Year
Date Picker Icon
Requested By
*
First Name
Last Name
E-mail
*
Building/Site
*
Application
Maximo Request No.
Delivery Required
*
Normal
Urgent (When designating urgent, you are authorizing the use of air freight, etc. to expedite material receipt)
Account Number OR choose below
Account Number
Please Select
General Maint. Academic 110010-425050-721055-160010
Srca (-M, -B) 110010-425450-721055-160010
Energy Mgmt 110010-425020-721055-160010
Landscaping/Grounds 110010-425060-721055-160010
Utilities/Tunnels 110010-425300-721055-160010
Energy Center 110010-425160-724055-160010
General Maint. Res Life 110010-425350-721055-182010
General Maint. Auxiliary 110010-425360-721055-182010
Housekeeping Auxiliary 110010-425210-721045-160010
Housekeeping Res Life 110010-425220-721055-160010
Housekeeping Academic 110010-425230-721045-160010
Materials Requested
Vendor
Quantity
U/M
DU Commodity No.
Description - Be specific (Manufacturer, Model/Part No., Color, etc.)
Unit Cost
Extended Cost (Total)
Add another request?
Yes
Vendor
Quantity
U/M
DU Commodity No.
Description - Be specific (Manufacturer, Model/Part No., Color, etc.)
Unit Cost
Extended Cost (Total)
Add another request?
Yes
Vendor
Quantity
U/M
DU Commodity No.
Description - Be specific (Manufacturer, Model/Part No., Color, etc.)
Unit Cost
Extended Cost (Total)
Signature
Requester's Electronic Signature
*
Supervisor E-mail (to be filled out by Facilities)
Enter the appropriate supervisor e-mail address for approval.
Submit
Facilities Store
Vendor A
Contact
First Name
Last Name
Phone
Delivery Date
-
Month
-
Day
Year
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Delivery Method
Vendor
Will Call
UPS
Freight
Add another item
Yes
Vendor B
Contact
First Name
Last Name
Phone
Delivery Date
-
Month
-
Day
Year
Date Picker Icon
Delivery Method
Vendor
Will Call
UPS
Freight
Add another item
Yes
Vendor C
Contact
First Name
Last Name
Phone
Delivery Date
-
Month
-
Day
Year
Date Picker Icon
Delivery Method
Vendor
Will Call
UPS
Freight
Submit
Supervisor
Supervisor's Electronic Signature
Request Status
Approved
Denied
Submit
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