MAE Ordering Form

MAE Ordering Form

Please fill out this form for all purchase requests. One form required for each supplier/vendor.

Requester Name*

Requester Email*

Please enter your UVA Email Address (include @virginia.edu)

Supplier*

Please list the supplier name (i.e. Amazon)

Link to Item

Please include a weblink to the items you would like to purchase, if applicable (if the items are coming from the same supplier, you can provide links to each item here)

Item

Please include length/size if needed

Part/Model #

Including a part/model number or SKU number helps us to ensure we purchase the correct item

Price Per Unit

If purchasing multiple items, do not include the total price; only the price per item

Quantity Desired

Please list the PI for this purchase

Select or enter value

Worktags*

Please enter the worktags you would like to charge

Shipping Address*

Select or enter value

Address if Not Listed

Comments

Please list any helpful comments

File Upload

Please upload any relevant documents i.e. quotes from a company, sole source justification, screenshots of cart, etc.

Drag and drop files here or

Quote Provided?

Is there a quote provided for this purchase? Is this purchase request over $10,000.00, include Capital Equipment, or require a Sole Source Justification Form?

Purchase Exempt?

Is this purchase exempt under any UVA approved exemption (listed here).

Select

Sole Source?

If you did not seek competition, please upload your Sole Source Justification form to the File Upload Section

Select

3 Quotes?

If Purchase is not exempt from competition and you did solicit 3 quotes:

Did you solicit quotes from at least 2 SWaM Suppliers (Small, Women, or Minority Owned)?

Please upload quotes to the File Upload if applicable

Select

Vendor Contact

Please provide your point of contact for the vendor you'd like to do business with, including name, phone number, and email address.

Capital Equipment?

Is this Capital Equipment (is there any one item with a total per unit value of $5,000.00 or greater?)

Select or enter value

Capital Equipment Responsible Party

Who will be the one responsible for the Capital Equipment? (Name and Email address)

Capital Equipment Location

What building and room number will the Capital Equipment be located for Asset Management?

Grant Budget Line

If this is being purchased on a grant, what budget line item is this being purchased for?

Send me a copy of my responses

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