College/Parent Organization
Office of Finance & Administration
Procurement Services
213 Thomas Boyd Hall
Certification Request Form
Campus: LSU PBRC LSUAG LSUA LSUE LSUS
Delegation Requirements
Departments should evaluate the current purchasing needs of the department, identify the name and title of the staff
member(s) who handle the daily procurement transactions and determine the appropriate levels of increased purchasing
authority delegation needed based on the information below.
This form is to be completed and approved by the Department Head, Dean, or Director to recommend delegation
assignment(s).
Individual(s) must attend required training as outlined on the Purchasing Agent Certification Program webpage, score 85%
or better on the Purchasing Agent Certification Assessment Exam and sign a Memorandum of Understanding (MOU) to
formally receive delegation. Delegation is complete upon receipt of the fully executed MOU.
Note: Delegated authority does not include T-38 Construction/Renovation projects (CRP), contracted services (PSC), travel
purchases or payment processed as a Direct Charge through Accounts Payable.
Purchasing Authority Levels
Individual shall be granted 1 (one) of the authorities below.
Authority Levels Auth
ority
Level 1
Ability to purchase goods and services less than or equal to $10,000 on a LaCarte card.
Level 2
Ability to purchase goods and services less than or equal to $10,000 on a LaCarte card.
Ability to solicit quotes for goods and services less than or equal to $25,000.
Level 2-SOL
Ability to solicit quotes for goods and services less than or equal to $25,000. Individual has
no LaCarte authority.
Requested Delegates
Name
Email
Title
Level
(Circle 1)
1 2 2-SOL
1 2 2-SOL
1 2 2-SOL
1 2 2-SOL
1 2 2-SOL
Signature
Printed Name
Date
Dean, Director or
Department Head
FRM-U307.B.01 please return this form to purchase@lsu.edu Version 9.19
Department