DOM PI Purchase Requests

DOM PI Purchase Requests

In order to increase efficiency and process your request in a timely manner, please utilize this form to submit a request to DOM Purchasing and AP team. Please reach out to us at purchasing@medicine.wisc.edu with any questions or concerns you may have about your request.

Reminder: Have you checked ShopUW+ for the item(s) you are requesting?

Requester Information

Name*

Email Address*

Division*

Select

Purchase Details

If submitting multiple orders, please complete the below information for the primary request and see the Documentation Section for the remaining items.

Business Purpose*

Please provide a business purpose/justification which answers the following questions:

What – a description of what you’re requesting

Who – who will this request be serving

When – is there a specific date or event the request is for

How – how will this request positively impact the University (purpose/usefulness)

Preferred Delivery Date*

Urgent?

Is your purchase over $5,000?*

If you select Yes, someone from our Purchasing Team will reach out to you for further documentation.

Yes

Where would you like this shipped to?*

Please provide the physical mailing address. If not physically shipping something, please list the address for the UW contact.

Vendor Name*

Vendor Phone Number*

Phone

Vendor Email Address*

Vendor Website*

Documentation

If placing multiple orders, please complete an excel spreadsheet for the remaining items that include the vendor and funding information for each item.

If your request is over $5,000 please upload a quote and any other documentation you may have.

File Upload

Drag and drop files here or

Additional Information

Add any additional comments you would like to staff to know.

Funding

If you have multiple funding strings, complete the Fund, Project, Department ID, and Program Code fields for the primary order request. Please attached an excel spreadsheet with the additional funding strings and the split you would like done for each.

Fund*

Project ID*

Department ID*

Program Code*

Select

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