Editing previous response:

Please fix the highlighted areas below before submitting.

Purchase Order Request (New)

Please complete the form below. Required fields marked with an asterisk *

If your request involves traveling for a conference/event please see our travel/conference PO request form here.

If this is an Office Depot Request please click here.

Contact Information

First & Last Name *

Answer Required

Extension

Answer Required

Department/Fund to be Charged *

Who should be responsible for this expense or is there a special grant/fund this may fall under?

Answer Required

Has this request been discussed/approved by the department head? *

Answer Required

Yes Discussed, and they are in approval of my request.

Yes Discussed, but inconclusive or have not yet given me an answer and I would like the business office to discuss with my department head.

email address of the department head for this purchase? *

must be an email address.

Answer Required

Vendor/Payee (you will need a separate PO for each vendor) *

If you will be making the purchase with a personal card YOU are the vendor. If the District BofA card will be used BANK OF AMERICA is the vendor.

Answer Required

Current Vendor Remit To Address if known. (many vendors will change their remit to address from what is on file, this will help avoid late or lost checks)

Answer Required

If this is the first time you have ordered from this vendor this year a W-9 is required at the time of submittal, if you are not sure verify the vendor status with Maryssa Lopez [email protected]

A new W-9 is required each fiscal year.

Answer Required

Choose a file or drag it here.

Description of your purchase/expense request? *

Who, What, When, Where, Why? Give or take.

Answer Required

Quantity*

Answer Required

Total Price broken out (Including tax and shipping if applicable. YOU MUST ENTER AN AMOUNT OR YOUR REQUEST WILL BE REJECTED)*

Answer Required

Notes/Comments/Details

Answer Required

Here you will attach any supportive documents. (Quote from Vendor, order form, screenshot, email thread, etc.)

Answer Required

Choose a file or drag it here.

I understand that it is my own responsibility to place my order, make my reservations, activate my membership, or register for an event etc. unless agreed upon otherwise.

Answer Required

Yes, I understand.

I understand that this is only a request for the Business Office to create my request and not a guarantee of an approved purchase order. By placing this request the Business Office will create my purchase order and route it for approval. The Business Office cannot guarantee the time frame of approval. I will not make any reservations or place any order until I have an approved purchase order number. Purchases made prior to this are subject to denial for reimbursement.

Signature*

Signature Required

Confirmation email *

Answer Required

Confirmation Email

Confirmation Email *

Email Required