Purchase/Payment Request Form

This form is for:

Payments to vendors or non-employee individuals
Requesting a purchase to be made on your behalf
Requesting issuance of a purchase order (PO)
Employee reimbursements
Internal payments (e.g. CSU Facilities, Lory Student Center, etc.)

This form is NOT for:

Travel expenses (see instructions for travel)
Stipend payments (email Stipend Request Form)

Request Details

Name

First and Last

Phone

Person authorizing this purchase:

First and Last Name

Department

Select only if this purchase is for a specific Senior Design team

Payment Request: For payments to vendors when a purchase has already been made (invoice is required).

Purchase Request: For purchases to be made on your behalf (no payment made yet).

Reimbursement Request: For reimbursing a purchase that was paid for personally (itemized receipt showing proof of payment is required).

CSU Vehicle Reservation (IO) Request: To request an internal order number used to reserve a CSU motor pool vehicle.

Request Type

If you need to claim travel expenses, please do so here.

Account Details

I need to charge multiple accounts

CSU Account Number

Include the sub-account, if applicable.

In a few sentences, describe how this benefits CSU:

NOTE: If this is being charged to a sponsored project (account beginning in 53), please also include how this aligns with the objectives outlined in the project statement of work and/or budget justification.

Is there anything you would like us to know about this request?

Send me a copy of my responses

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