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Purchase Request Form

The purchase request form is used to request the purchase of goods or equipment, and requires information about the vendor, requested items, accounts to charge, and approvals. Multiple accounts can be specified by indicating the quantity or percentage to assign for each line item in the description area. Signatures are needed from account approvers and, for computer-related purchases, the Manager of College Information Systems or authorized designee.

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Angga Saputra
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137 views

Purchase Request Form

The purchase request form is used to request the purchase of goods or equipment, and requires information about the vendor, requested items, accounts to charge, and approvals. Multiple accounts can be specified by indicating the quantity or percentage to assign for each line item in the description area. Signatures are needed from account approvers and, for computer-related purchases, the Manager of College Information Systems or authorized designee.

Uploaded by

Angga Saputra
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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PURCHASE REQUEST FORM (Rev.

09/11)
{Note: If using a non-contract vendor, please forward at least three (3) quotes (if the requisition is $5,000 or
more) & any detailed descriptions to your respective purchasing group.}

Fund G/L Account If using multiple account


assignments, indicate in
Account Approval: Fund / Program Object Code WBS / Cost Center "Description" area below for each
line item (by quantity or percent).
Fiscal Yr: * Account #:
If purchasing equipment, please check the appropriate box: New Equipment Equipment Replacement

Vendor: Date: February 27, 2017


SAP Vendor # (if known):

Address: Requestor:

City: Department:

State: Zip: Phone #:

Contact Person:

Phone #: Fax #: Approval:

Contract # (if applicable): Vice President and/or Authorized Designee

Material Number
(catalog items only) Description Qty. Unit Price Extension

Subtotal $0.00
If required at your location, all computer -related
FOR OFFICE USE ONLY: items must be approved before purchasing.
Tax $0.00
SAP Doc. #: _______________________________
Approval:____________________________________ eWaste $0.00
Notes:____________________________________
Manager of College Information Systems or
Authorized Designee Freight $0.00
Page 1 of TOTAL $0.00
PURCHASE REQUEST FORM (Rev. 02/10)

Material Number
(catalog items only) Description Qty. Unit Price Extension

Subtotal $0.00

Page _____ of ______


INSTRUCTIONS - PURCHASE REQUEST FORM

NOTES:

If using a non-contract vendor, please forward at least three (3) quotes (if the requisition is
$5,000 or more) and any detailed descriptions to your respective purchasing group.

1. Complete the Vendor information (e.g., Name, Address, etc.). If the SAP Vendor # is known,
please enter this information in the space provided.

2. If initiating a purchase request related to a District-wide contract (e.g., office supplies contract),
provide the Contract # if known.

3. If purchasing equipment, check the appropriate box to designate if the request is to purchase
new equipment or to replace old equipment.

4. Fill out the Requestor information (Name, Department, Phone #, College/Location).

5. Complete the Account Approval section and obtain the signature of the authorized individual(s).
If using multiple accounts, obtain signatures from all authorized representatives and list them with
each item under the Description area.

6. If using a contract vendor (e.g., Office Depot), fill in the Material # (catalog #) that is assigned to
the item.

7. Provide a description for each line item being purchased. If the provided space is insufficient,
attach additional sheets that include more detailed descriptions of the line items.

8. Complete the Qty., Unit, Price and Extension columns. If inputting this information via the
computer, embedded formulas will calculate the extension, subtotal, tax, and total amounts.
Please check your budgets before forwarding this request to ensure that sufficient funds are
available. Otherwise, your request will be returned unprocessed.

9. Fill in the page number at the bottom of the Purchase Request Form. This action will confirm the
number of pages that are to be processed by the Purchasing Group. Therefore, if the Purchase
Request Form is more than one page, complete the "Extra Page(s)" Worksheet of this form and
number them accordingly.

10. After completing this form, obtain the appropriate approval signature(s) and submit this document
to your location's appropriate Purchasing Group.

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