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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.:
Description Stock # Qty.
Unit Price
Other Requirements for Purchase: Attach as needed
Shipping Costs
Under $5,000 - No additional quote needed
Other Charges
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
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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.
Total Item
cost
$5,000-$25,000 - At least two verbal quotes referenced on requisition
$25,000-$50,000 - At least two written quotes must be attached
Verify funds available - through Debra if Grant-Funded, Tracey if State-Funded 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.