Electronic Purchase Requisition Form

This field is read only and automatically updates as you fill in this form

Requestor Contact Information

First
Last
Complete if you are not department head.

Vendor Information

If "no" or "unsure" you will be asked to provide the vendor's billing address.

Item(s) Requested

dollars
field updates automatically

02. Item(s) Requested

dollars
field updates automatically

03. Item(s) Requested

dollars
field updates automatically

04. Item(s) Requested

dollars
field updates automatically

05. Item(s) Requested

dollars
field updates automatically

06. Item(s) Requested

dollars
field updates automatically

07. Item(s) Requested

dollars
field updates automatically

08. Item(s) Requested

dollars
field updates automatically

09. Item(s) Requested

dollars
field updates automatically

10. Item(s) Requested

dollars
field updates automatically

Attach Receipts and Submit

Alternatively, you may choose to submit paper receipts to the finance office
Maximum upload size: 3MB
Up to ten receipts can be uploaded. Accepted file types are pdf, jpg, and png.
Clicking 'Submit' will send this form to the Finance Office with a CC to your contact email and supervisor email provided above. Receipt of the CC does not indicate approval, only that the form has been successfully submitted.