Form Proc0065 PDF Details

The Proc0065 form serves as a critical document within organizational purchasing processes, streamlining the procurement of goods and services while ensuring compliance with financial and operational policies. This requisition form encompasses several significant sections, including supplier or payee information, which requires details like social security or federal ID numbers, and contact information. It is structured to collect comprehensive data regarding the purchase, including the purchase order number, buyer's initials, delivery details, and fiscal year, all categorized under "Office Use Only." The form facilitates clear communication between departments and suppliers by distinctly allocating spaces for delivery instructions, payment terms, account or project information, and specific details about the item or service being requisitioned. Moreover, the inclusion of certification sections for office supplies and the necessity for departmental approval underscores the form's role in maintaining fiscal responsibility and alignment with organizational objectives. By requiring an authorized signature, the form not only validates the requisition but also ensures accountability and adherence to the guidelines set forth by the purchasing organization, such as Stony Brook University, as indicated by the reference to its procurement website. The precise design of the Proc0065 form underscores the importance of a structured and transparent procurement process in maintaining efficient and responsible financial practices within institutions.

QuestionAnswer
Form NameForm Proc0065
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPROC0065 stony brook proc0065 form

Form Preview Example

Requisition Form

Requisition Number

Supplier/Payee Information

Office Use Only

Purchase Order No:

Buyer’s Initial & Date:

Del By:

Fiscal Year

Name:

 

Social Security or Federal ID #:

Contract #:

Group #:

 

 

 

 

 

 

Address:

 

City:

 

State:

Zip:

 

 

 

 

 

 

Supplier Phone:

Fax:

Email:

 

 

 

 

 

 

 

 

 

Deliver To Information

 

 

Payment Information

 

 

Department Information

 

 

 

Attention:

 

 

 

 

Payment Terms:

 

Freight:

FOB:

Account # / Project Task Award:

 

 

SBF RF

 

 

 

 

 

 

 

 

 

 

Due

Dest

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

FCA

 

 

 

 

 

Department:

 

 

 

 

Confirming:

Yes

No

 

Paid

Sponsor:

Expenditure/Object/GL:

 

 

 

 

 

 

 

Origin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building:

 

 

 

 

Suppliers Notes:

 

 

 

 

Organization Name (Department):

 

 

Zip+4:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Room #:

 

 

 

 

 

 

 

 

 

 

Project Director:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requisitioner:

 

Need by Date:

 

 

 

 

 

 

 

Note: RF Only-Office Supplies Certification:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized Signature below also certifies

 

 

 

 

 

 

P/C

F/A

Ownership:

 

 

Office Phone (XXX) XXX - XXXX

Office Fax (XXX) XXX - XXXX

 

 

Scientific or Programmatic use for the project

(

)

-

(

)

 

 

 

 

charged.

 

 

 

 

-

Payment Requires Dept Approval:

Yes

No

 

 

 

 

Item Information

Item #

Expenditure Type, Catalog # & Complete Description (Including notes & buyer notes)

Quantity UOM

Unit Price

Total

Justification / Purpose of Purchase:

Grand

 

Total:

 

 

 

 

 

 

I certify that the purpose of purchase requisition complies with the account restrictions and is consistent with the donor's/sponsor's intent.

 

 

 

Authorized Signature

Date

 

 

Quotation:

Written

Verbal

By:

Date:

 

 

 

 

 

 

 

 

OGM Approval:

 

 

Term Date:

 

 

 

 

 

 

 

 

Notes/Approvals:

 

 

Radiation Control Required:

Yes

No

 

 

 

 

 

 

Check Distribution:

Mail

Pick up at Bursar

 

 

 

PROC0065 (05/11)

 

 

 

 

 

www.stonybrook.edu/procurement