Purchase Request
Please fill out the following form to request a purchase with departmental funds. Please note that this form does not replace the Travel Expense Voucher Form. If you would like to use departmental funds for travel expenses, you will have to fill out additional paperwork.

If you need to be reimbursed for a purchase that you made, please fill out the Request for Reimbursement Form here: https://goo.gl/forms/MppNquTCjNuI7g8c2

Please direct any questions to Khrista Neville at khrista.neville@eku.edu.

Email address *
Your Name *
Your answer
Date needed by *
MM
/
DD
/
YYYY
Funding Source *
If you selected "Other Funds," which fund are you are referring to?
Your answer
Expense Description *
Your answer
Vendor Name *
Your answer
Vendor Contact
Your answer
Unit Price of Product *
Your answer
Quantity *
Your answer
Total Order Price *
Your answer
Have you already purchased this order? *
Required
If yes, please upload a copy of your receipt.
*You will need to upload the file to your Google Drive, then share a link to that Google Drive file here.
Your answer
If no, please provide the URL where this purchase can be made:
Your answer
Comments/order notes:
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
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