SCI Purchase Request Form

Please complete this form as completely as possible.

Requestor Name

(First and Last name of purchaser)

Requestor Phone*

Requestor Email*

Rutgers University Email Address

Department*

Business Office

Dean's Office

DCM

CHI

COM

CPS

DEI

DOD

Gloria Steinem Chair

IDT

ITS

JMS

LIS

MHCI

MCM

MIP

PhD

SSD

STC

Purchase Request

I would like to...*

Select or enter value

Type of Purchase*

Click here for Guidance on making purchases https://procurementservices.rutgers.edu/

Click here for the OIT Risk Assessment Form

Select

PreTravel/Reimbursement Number

Vendor Information

Vendor Name*

Company name. Find approved vendors: https://go.rutgers.edu/fefks4zc

Vendor Contact Information*

Please provide contact information, email address is preferred.

Description/Justification

Justification/Business Purpose*

The University requires an explanation...why is this purchase needed, appropriate and reasonable. How many and who will be attending?

Detailed description of the services to be performed, including location (attach additional sheets, if necessary):*

Please provide all details possible for your request, including a list of items with web links, if available. Not enough space for your items? Please attach your list below.

Total fees to be paid / Costs*

Additional Comments/Details

Date Need By

Please see purchasing guidelines for possible timeframe, https://go.rutgers.edu/o4niyyfn

Accounting Information

Project/GL*

Project

GL Information*

Select

Project & Task #*

e.g. PR-300190-305 See link to Project & Tasks Numbers: https://go.rutgers.edu/rxtu1q8

Project Name*

e.g. ICR, Research Funds, Start-Up Funds, "Grant/Project Name"

Attachments

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