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SAN DIEGO COMMUNITY COLLEGE DISTRICT
Purchasing and Contract Services
3375 Camino del Rio South Suite 270
San Diego, California 92108
619.388.6562
Fax 619.388.6893
TO: PurchasingandContractServices
FROM:DEPT:
DATE:
RE: Confirmation/RequestforRemittance RequisitionNo.

ProcurementofmaterialsandservicesoftheDistrictistheresponsibilityforthePurchasingand
ContractServicesDepartment.Exceptinanemergency,wherehealthandsafetyareatrisk,District
personnelarenotauthorizedtocommitwithsuppliers,contractorsorconsultantsforthepurchaseof
goodsorservices.Ifanorderisplacedwithoutapurchaseorder,theDistrictisnotobligatedto
provideremittance.Thefollowinginformationandremediationplanisnecessarybeforeremittance
canbeconsidered.
1. Thereason(s)properpurchasingpoliciesandprocedureswerenotfollowed:
2. Detailsoftheemergencyrequiringthepurchasepriortoobtaininganauthorizedpurchase
order:
3. Whatmeasureswillbetakentoavoidasimilarcircumstancefromreoccurring?
4. Ifserviceswereperformed,whatwerethetermsofthecommitment;whendidtheservice
beginandend,howwasthepricingnegotiatedandevaluated?
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5. Attachedcopiesofalldocumentationtothismemo;including,invoice,packingslip,proofof
delivery,andacopyoftherequisition.
NOTE:Submissionofthisrequestdoesnotguaranteeapprovalofremittance
Requestedby__________________________________________ Date:____________
(RequestorSignature)
Approvedby___________________________________________ Date:____________
(Dean/DirectorApproval/Signature)
Approvedby___________________________________________ Date:____________
(VicePresidentApproval/Signature)
PURCHASING DEPARTMENT USE ONLY
Buyer: Date Received:
Req. No.: PO:
W-9 on file (Y/N)
Approved By: Date:
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