EESA ePro Request Form

The following information is required to place an ePro requisition. Please complete and indicate N/A if the requested information does not apply to your order.

If you are ordering 5 or more items from the same vendor, please complete the form and attach the following file: https://docs.google.com/a/lbl.gov/viewer?a=v&pid=sites&srcid=bGJsLmdvdnxlc2RzdXBwb3J0fGd4OjI3NTMwN2UxNDA2YzBkODA

Please remember that if you are requesting work to be performed at the Lab (such as maintenance, repair, etc.), please make sure that you complete an sJHA and provide that information in this form. If you have any questions, please contact Karen Elliott, Peter Lau, or Vivi Fissekidou.

Note: Verify with the PI of the account number you are charging. (20% will be added to your order for shipping & minor changes.)









Where do you want this delivered (ex: building and room)?


Example: what is the name of the project




Example: 123456-001: if more than one PID is used please use % to show distribution; not dollar amounts.




Contact, phone, email, address, website URL


REQUIRED for on-site work - (such as maintenance, repair, etc.)

Please make sure that you complete an sJHA and list the sJHA number here. If you have any questions, please contact Karen Elliott, Peter Lau, or Vivi Fissekidou.



OPTIONAL - please attach quote using upload button below


EX: Quote or ePRO request form if ordering 5 or more items must be in PDF or Word format.


If you are ordering 5 or more items from the same vendor, please complete this form and attach the following file: https://docs.google.com/a/lbl.gov/viewer?a=v&pid=sites&srcid=bGJsLmdvdnxlc2RzdXBwb3J0fGd4OjI3NTMwN2UxNDA2YzBkODA


Product #, Description, Quantity, Unit Price, Total Price
(EX: ID#123456, Crayola Crayons, 20 x $0.25 = $5.00)





























Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.