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

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


Is your item on the restricted list? https://docs.google.com/a/lbl.gov/file/d/0B0b4uEAS_4iLbkRFU0s2ellZa00/edit




For electronic items, is it NRTL approved or UL Listed? NRTL - https://www.osha.gov/dts/otpca/nrtl/
UL - http://www.ul.com/global/eng/pages/solutions/standards/





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






Contact, phone, email, address, website URL


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)






























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