Form:PUR‐08 Page1of2 RevisionDate:07/01/2019
FOODREQUESTFORM
RequestorInformation
NameofPersonSubmittingRequest: Date:
Department: Index|Account:|
EventInformation
EventDate: TimeofEvent:
LocationofEvent:
Vendor: EstimatedAttendance:
EstimatedCost:
EventPurpose: EventDescription:
RequestorCertification
Icertifythattheaboveinformationis
accurateandisneededtosatisfytheneeds
thedepartment.
RequestorSignature Date

RequestingAuthorities
DirectorSignature:____________________________________________________Date________________
AdministratorSignature:________________________________________________Date________________

APPROVALS
Approved/Disapproved:________________________________________________Date_______________
GrantDirectororAccountant(ifusingarestrictedaccount)
Approved/Disapproved:________________________________________________Date_______________
ChiefProcurementOfficer
Approved/Disapproved:________________________________________________Date_______________
VPofAdministrationandFinance
Approved/Disapproved:________________________________________________Date_______________
President
Form:PUR‐08 Page2of2 RevisionDate:07/01/2019
INSTRUCTIONS│FOODREQUESTFORM
**
TheformmustbecompletedusingAdobeAcrobat**
1. CompletetheRequestorInformation
a.
EnteryourName
b.
EntertheDatethisformisbeingcompleted
c.
EnteryourDepartmentname
d.
EntertheIndexandAccountthiswillbechargedto
2. CompletetheEventInformation
a.
Entertheeventdate
b.
Entertheeventtime
c.
Enterthelocationoftheevent
i. Physicaladdressoftheevent
ii. IfonCCCproperty,includetheroomnumberorgenerallocation
d.
Enterthevendorname
e.
Enterhowmanypeopleyouexpecttobeinattendance
f.
Entertheestimatedcostfortheevent
3. CompletetheEventPurposeandEventDescription
a.
Provideasdetailedadescriptionastothepurposeoftheeventandhowandwhythiswill
benefitCCC.
4. CompletetheRequestorCertification|Signanddate
5. HaveyourDirectorandAdministratorsignanddateunderRequestingAuthorities.
6. Approvals|TheFoodRequestFormmustbesignedbythe:
a.
ChiefProcurementOfficer
b.
ChiefFinancialOfficer
c.
President
SupportingDocumentation
a. Aquotefromthevendorbeingutilizedfortheeventmustaccompanythisform.
b. AwrittenagendamustaccompanythisformwhentheeventisforCCCmeetings/trainings.
c. Alistingofemployees/attendeesmustbeprovidedbeforepaymenttothevendorwillbemade.
d. YoudonotneedtosubmitarequestforaMiniPO.
Contact:Purchasing(4042)