Departmental Requisition Form
Originator
Name: ____________________________
Banner ID:
Type of
Requisition
□Reimbursement
□Teaching Course #______________
□Other: Specify _________________
Date: ______________________________
Source
Of Funds
□Department
□Grant Account # ______________
□Start-Up Account # ____________
Vendor
Info
Vendor ________________________
Phone _________________________
Fax ___________________________
Web ___________________________
Quote # ________________________
Quote Date _____________________
Number
Unit
Delivery
□Computer Equipment**
□Other (such as radioactive, hazardous, etc.)
Specify:
In compliance with University policy to ensure competitive pricing and
cost-effective procurement of goods and services, competitive bids must
be obtained on purchases or planned events with an anticipated total cost
of $5,000 or greater. If an appropriate product or service is deemed to be
available only from a single source, a Sole Source Procurement form
must be completed in its entirety and returned to Purchasing. Purchasing
will then review the information on the form to determine whether or not
the supply or service fits the criteria of a sole source.
*Items that require a dolly or hydraulic lift will be sent to the SLU receiving dock department
**Some computer equipment must be coordinated with ITS before requisition is processed
Requisition Number: _______________________________
Comments (Such as vendor address, delivery location, etc.).
Approval Signature ________________________________________________ Date .
Chair/Co-Chair signature required if source of funds is departmental.
PI Signature required if source of funds is grant-related.
click to sign
signature
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