1. T2 Purchase Request
Reference Number: Todays Date:
Last Name: First Name:
Email: Department: Select...
Phone: (253) XXXXXXX Contract: Select...
Shipping Address:
Product Information
Item:
Description:
Suggested Vendor: Web Site:
Click here to insert a hyperlink
Email Address: Item#:
Vendor Phone: Req. Type: Select...
Date Required: Est. Cost:
Quantity: Est. Shipping:
Justification:
Attachments:
File Attachment
Purchasing Department
Purchase Order
Number:
Order Date:
Vendor: Order Status: Select...
Is this purchase for Electronic & Information Technology Items (Section 508of the Rehabilitation Act) Yes No
A Sole Source Requirement (NO OTHER COMPANY can provide the item, Proprietary Rights) Yes No
Mandatory Sources: Select...
Reason for not using a Mandatory Source:
Approvals Section
Division Chief Approval: Select... Select...
Official Review: Select... Select...
Logistics Approval: On Hand Accountable