Purchase Order Request Form printable pdf download

Purchase Order Request Form

PURCHASE ORDER REQUEST FORM

Date:

Requested by:

Account # / Name:

Purchase/Funds Apprvd:

Will this charge need to be transferred to another account in the future? Yes No

Vendor:

Quote No.:

Address:

Contact Person:

Phone No.:

Fax No.:

Total Item

Description

Stock #

Qty.

Unit Price

cost

Other Requirements for Purchase: Attach as needed

Shipping Costs

Under $5,000 No additional quote needed

$5,000$25,000 At least two verbal quotes referenced on requisition

Other Charges

$25,000$50,000 At least two written quotes must be attached

Item on State or Univ. contract, only need hard copy from Vendor

Total Charges

Sole Source If available from only one source, over $50,000,

or Sponsored Research exemption

CHECKLIST & INFORMATION

Verify funds available through Debra if GrantFunded, Tracey if StateFunded or appropriate account

manager (i.e. Roger J., Jian Liu)

Complete Purchase Order Request Form. ALL INFORMATION IS NEEDED.

If you have not purchased from the Vendor before, check with Max to see if they are already

on the list. If not on UF's list, forms will need to be faxed to the company. See Max for forms

to be used.

3 Most common missing information is which account is covering the charge.

4 Please do not submit a request to purchase without all required information.

Purchase Order Request Form