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Purchase Request Form

An employee is requesting funds for a professional development purchase or reimbursement. The form requires information about the employee, funding source, purpose of the request, purchase details including vendor and item descriptions, and administrative signatures for approval. The division director has final approval over the request and will provide confirmation by email upon receipt.

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0% found this document useful (0 votes)
106 views

Purchase Request Form

An employee is requesting funds for a professional development purchase or reimbursement. The form requires information about the employee, funding source, purpose of the request, purchase details including vendor and item descriptions, and administrative signatures for approval. The division director has final approval over the request and will provide confirmation by email upon receipt.

Uploaded by

api-276764819
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Purchasing/Professional

Development Request
Travel requests are to be completed online @ MyASU > Travel > Travel Requests.
EMPLOYEE INFORMATION
Name:
Email:

Phone:

Office

Cell

FUNDING DETAILS: Prior approval required for purchases or reimbursements.


Amount Requested: $

Funding
Source:

Discretionary

Startup

Grant

Class Fee: (Course #: Line #:


Sem: )
Purchase
Other:
Reimbursement
Public Purpose for request: Explain why this is a good use of funds. How will it help you meet your annual goals or enhance your
teaching, research or service? (Attach additional pages if needed.)

PURCHASING DETAILS: Attach registration forms, applications, etc. Original receipts required for reimbursement.
LIST ITEMS TO BE PURCHASED
Vendor Name or Website

Item Description/Catalog Item Number

Qty

Price each

Shipping/
Handling

Tax

Total

Notes or Special Requests: (Attach additional pages if needed)

Date needed by:

Delivery address:

ADMINISTRATIVE USE ONLY:

Account #:
Amount available:
Vendor Tax ID:
ASC (8.5%):
Date Received:

Account #:
Amount available:
Vendor Tax ID:
ASC (8.5%):
Date Received:

Business Managers Signature:

Division Director Action:


Division Directors Signature:

Account #:
Amount available:
Vendor Tax ID:
ASC (8.5%):
Date Received:

Date:

Approved

Denied

Additional information/discussion needed


Date:

Fill out form completely (electronically). Email form, along with any required attachments, to
[email protected] (Division 1) or [email protected] (Division 2) to verify fund availability.
Division Director has final approval. An email confirmation will be sent upon receipt.

Revised 2/21/14

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