System Offices Shared Services Procurement and Payment Request Form

1. Requestor Information *This question is required.

First Name

Last Name

Email Address This question requires a valid email address.

2. Organization Code *This question is required.

3. How would you like this payment to be made? *This question is required.

4. Please provide/verify vendor information.

Company Name (D.B.A)

Company Address

Banner Vendor ID

5. Is there a previous Purchase order?

If yes, please provide number.

6. What is the business purpose of the purchase? *This question is required.

7. Please provide recipient information including the shipping/delivery address. *This question is required.

8. What is the CFOP account to charge? (please provide account or activity code if necessary) *This question is required.

9. Please attach quote, contract, and other necessary documents.

10. Any additional details or important information you would like to add?