Physics Requisition Order Form

Overhead

There is a turn-around goal of 10 calendar days for sole source transactions between $5,000.01 and $100,000.00.
The turn-around time for single/sole source items/services exceeding $100,000 typically takes a minimum of 2-3 months to process.

Order Total Range

Do you plan to purchase or obtain equipment from Hikvision, Huawei, ZTE, Hytera, Hangzhou, or Dahau, or one of their subsidiaries or affiliates? Yes No

If yes, please explain how you are using the equipment and whether that use relates to this award.

Is the item to be purchased part of a piece of fabricated equipment that currently has an asset tag number? Yes No

If Yes, a UMD Asset Tag Number is Required

UMD Asset Tag Number

Will the item to be purchased be part of a nonexpendable piece of research equipment that will have a useful life of more than one year and a total assembled or constructed cost of more than $5,000? Yes No

If Yes, the Desscription/Title of Research Equipment under construction is required

Description/Title of Research Equipment

Order Information

Personal

Name

Phone Extension

Email

Date Submitted

Required Delivery Date

Deliver to Campus
NO LATER THAN

Financial

Group

Department Name

Principal Investigator

Fund Coordinator Email

Requisition Number

KFS Number

Subcode

Work Order

Vendor

Source

Source Select

Suggested Source

Website URL

Quote Number

Upload Quote

Payment Type

Information

Vendor ID

Vendor Contact

Vendor E-mail

Vendor Phone

Vendor Fax

Shipping

Shipping Method

Contact the Physics Purchasing Group immediately after submitting your request if your shipping method IS NOT Ground.
DO NOT SEND EMAIL OR LEAVE PHONE MESSAGES.

Cheryl Ekstrom x55913 | Jesse Anderson x55987

Other

Ship Destination

Final Destination Room Number for Inventory Purposes

Alternate Delivery Contact Name

Alternate Delivery Contact Phone Number

Alternate Delivery Contact E-mail

Off Campus Address

Item 01

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 02

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 03

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 04

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 05

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 06

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 07

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 08

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 09

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Item 10

Part Number

Description

Quantity

Unit

Unit Price $

Total $

Order Total

Order Total $

Captcha

Other Comments

By submitting this form, you acknowledge that you are authorized to make a purchase with the KFS account provided for this Purchase.
Contact the Physics Purchasing Group AFTER 72 hours of submitting your request IF YOU HAVE NOT received the name of the buyer processing your request.

Cheryl Ekstrom, ext. 55913 | Claudia Key, ext. 55988 | Jesse Anderson, ext. 55987

A brief justification of why the item(s) were purchased or what the item(s) will be used for.

Purchase Justification

Thank you for submitting your order.

Physics Requisition Order Form

College and University Links

Department of Physics

Information