Fillable Staples Exception Form

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Staples Exception Form

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STAPLES ORDER EXCEPTION FORM*
(TO BE COMPLETED WHEN PURCHASING OFFICE SUPPLIES FROM A SOURCE OTHER THAN THE STAPLES CONTRACT)
Department Name: __________________________________________________
Account Index: _______________________
Month/Year: ____________________________________
DATE OF
PURCHASE
ITEM PURCHASED
STAPLES
UNIT
PRICE
COMPARISON
UNIT PRICE
COMPARISON VENDOR(S)
TOTAL
PURCHASE
PRICE
WAS
STAPLES
PRICE USED?
AMOUNT OF
SAVINGS IF
STAPLES WAS
USED
AMOUNT OF
SAVINGS IF
STAPLES WAS
NOT USED
*Note: This form is to be completed and prices verified by departmental personnel. Information from this form is subject to audit. Should this information be
requested for audit, departments will be asked to submit a summary of the information in Excel spreadsheet format for submittal to TBR for review.
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Staples Exception Form

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Completed 9 March 2020

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