Agency Requisition for Goods & Services Form

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Use this form to request DAS Central Procurement conduct a solicitation for goods or services. View all existing contracts.

Requestor Name
*

Agency
*

Phone
*

Format: ###-###-####

Email
*

What is the estimated value of the Requisition?
*

If required, do you have Iowa Department of Management (IDOM) approval?
*

Yes

Are Federal Funds involved?
*

Yes

If required, do you have Office of the Chief Information Officer (OCIO) approval?
*

Yes

Enter the four required accounting codes below:

Fund (1)
*

(4 digits)

Department (1)
*

(3 digits)

Unit (1)
*

(4 digits)

Object Code (1)
*

(4 digits)

Do you have additional accounting codes to enter?
*

Yes

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This form was created inside of State of Iowa.

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