Procurement Form

Procurement Form

Use this form for all types of purchases. To help us fulfill your request, please complete this form to the best of your ability. Your order will be submitted in FMS as soon as it's approved. If you have any questions, please email Lady Bonifacio (LBonifacio@lbl.gov)

Urgent

Requester Name *

Email Address *

Do you have a quote?*

Select or enter value

Please attach the quote here*

Drag and drop files here or

Category*

Select or enter value

Supplier/Vendor Name *

All items above must come from one vendor only

Part Numbers, Description, and Quantity*

e.g.for multiple items

PN: 010101, DESC: Lenovo laptop Yoga 1, QTY: 1

PN: 010102, DESC: Lenovo laptop Yoga 2, QTY: 1

Unit Price (USD)*

e.g for multiple items

$1800

$2500

Is this a Chemical?*

Select

Owner of the chemical:*

Building and Room Number it will be Stored in:*

CAS number *

What project will this item be used for?*

Select or enter value

Justification for Purchase

Note: If CXRO General and Other is chosen as the project, you must complete this part.

PID (If you have one)

Do you ONLY need a PID?*

(Lady will send you the PID and you will place the order. Req# is must be emailed to Lady once the order has been placed.)

Select or enter value

Send me a copy of my responses

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