FY27 ROCTE Purchase Requisition Form

FY27 Purchase Requisition Form

Regional Office of Career & Technical Education
Date

MonthDayYear
Date
District
School
A-C Central 262
School
Athens 213
School
Auburn 10
School
Ball-Chatham 5
School
Edinburg 4
School
New Berlin 16
School
North Mac 34
School
Pawnee 11
School
Pleasant Plains 8
School
Riverton 14
School
Rochester 3A
School
South Fork 14
School
SPS 186
School
SPS 186 elementary schools
School
Taylorville 3
School
Tri-City 1
School
Waverly 6
Grant Funding Type
Requestor Name

First NameLast Name
Requestor Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Ship To Address

Street Address

Attention to

CityState / Province

Postal / Zip Code

Vendor Name
Vendor Email
Vendor Contact
Courier
Shipping Via

Order Form

Rows	Item SKU or Amazon ASIN	Web Link to Item	Item Description	Qty	Price per Unit
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Sub Total
Shipping
Enter Amount
Total Amount
Discount
Discount option
Discount (rate)
Enter percentage
Discount (value)
Enter value
Sales Tax
Enter percentage value
Sales Tax Amount

Please provide justification for expense:
e.g. CTE course code and course name; name of ROCTE-approved CTE program; instructor of record; instructor EIN; CTE activity; etc.
File Upload

Cancelof
District Administrator

First NameLast Name
District Administrator Email
example@example.com
Should be Empty: