Purchase Request Form

Purchase Request Form

Your Full Name*

Requested For

Enter name of person who needs this request, if other than yourself.

Date Needed*

Do you have a preferred vendor?

Yes

Is this a new or existing vendor?

New Vendor

Existing Vendor

Name of your suggested vendor

New Vendor Requested

If vendor is not in the approved vendors list, please submit a New Vendor Request Form. Right Click this link> New Vendor Request Form and select OPEN the link in NEW TAB or risk losing what you have already entered.

Expense Type*

Select

Is this a recurring service/purchase?

Yes

Allocation Type

Do you need to allocate this expense to more than one code?

Yes

Split Allocation - Incl Amount to be Allocated

Enter the split allocation details, dollar amount & description.

Detailed Description*

Provide a detailed description of what you are requesting to purchase.

Justification & Business Purpose*

Will this be coded to your Department budget?

Select or enter value

Select the Department Code for this request

Operating Departmental Budget

Select

Project Code associated with this request

Special Projects, Agency Projects, Athletic Camp, Community Activities

Select

Special Purpose Code

Select

Agency Code

Select

Agency Code Type

Select

AC List of Codes

Select

CA List of Codes

Select

How much is budgeted for this purchase?*

Sufficient approved budget available for request?

Select or enter value

Quantity Needed*

Estimated Cost

What is the Payment mode for this request?*

Accounts Payable

Corporate Card

Virtual Card

Travel Card

Attachments

Please attach anything that will help us with your request, including proposals or quotes, scope of services, screenshots, specification sheets, etc. To take a screenshot, press CTRL + PRTSC.

Drag and drop files here or

Send me a copy of my responses

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