Purchase Request Form Purchase Request FormUse this form to purchase a physical product or a service.Unique IDRequestor's Name* First Last UK Email:* Vendor* Account Number (if known): HiddenStatistical Internal Order Date Needed:* MM slash DD slash YYYY Phone NumberItems Requested:HiddenItems / Services Requested*DescriptionItem Number (If Any)Link to Item (If Any)Vendor/Catalog NameQuantityUnit PriceTotal Add Remove PLEASE READ Click the "+" symbol to automatically add new lines for purchasing multiple items. If your purchase has a shipping & handling fee, you must include that charge as a line item. If your text fills the boxes beyond the visible space, do not worry. It will print correctly on the backend. You will need to manually total items across the page for the total field.Item 1 Description and link if any.* Quantity*Unit Price*Total*Item 2 Description and link if any. QuantityUnit PriceTotalItem 3 Description and link if any. QuantityUnit PriceTotalProvide the business purpose. Adequate information in this field is required.*The business purpose is a statement that adequately describes the expense as a necessary, reasonable and appropriate business expense. Documentation of a clear business purpose is required so that an approver, reviewer and/or auditor may reasonably conclude and agree that the expenditure supports or advances the goals, objectives and mission of the University. Providing a valid business purpose is a requirement. The 5 “Ws” (Who, What, Where, When, and Why) can help you determine if the expense meets the criteria of a University business purpose. These should be addressed in the Business Purpose section. Who: The documentation must note specifically who the expense is for. What: The University needs to know what type of event or activity occurred, or what was purchased. All receipts or invoices should be itemized. Where: Document where the business activity took place. When: Document when an event occurred. Why: Most importantly, substantiate why the expenses are reasonable and appropriate for the university. The “Why” should include the primary reason for the expense Account Type to be charged:* Academic Grant or Contract - External Continuing Education Intrernal Project Startup General - Social Work Dept Funds Other You may select only one.Academic Program NameChoose OneAcademic & Student Affairs (non-degree specific)BSWDSWField (SW Practicums)MSWPhDGrant or Contract Name*Choose OneAdoption Support for KY (ASK)Assisted Outpatient Treatment (AOT) EvaluationBehavioral Health Workforce Education & Training (BHWET)Building SUD Workforce Capacity in the Appalachia RegionChildren's Justice Act (CJA) Task ForceCitizens Review Panels (CRP)Community Process Assessment (CPA)Convening Lived Experience & Research Communities to Improve Patient Centered OutcomesCredit for Learning (CFL)Critical Incident Review Support (CIRS)Department for Juvenile Justice - CoSW Supervision CollaborationDepartment of Defense MSWFoster Parent Mentor ProgramFoster Parent Training ProgramFostering Success-Employment InitiativeInterdisciplinary Research Leaders Cohort five - 2020KY Kinship Navigation, Information, and Supports (KY-KINS)Medically Complex Training ProgramOffice of Child Welfare Evaluation. Support, and Technology (OCWEST)Personal & Professional Exposure to Suicide in Military PopulationsPublic Child Welfare Certification Program (PCWCP)Self-Care InitiativeSobriety Treatment and Recovery Teams (START)Spanish Translation for Foster Care TrainingTele STELLA: Using Technology to Support Care Partners for Persons with Alzheimer's DiseaseTracking Transitions: Efficient Data MonitoringVALOR Initiative: Law Enforcement Suicide Prevention Training ProgramContinuing Education*Choose OneContinuing EducationInternal Project*Choose OneAbuse-Related Workplace DisruptionsBrain Health AcademyLawrence BIRCWH AwardMental Health & Suicide Attempt Survivors in the time of COVID-19Startup Source*Choose OneStartup Funds -A. GarciaStartup Funds - A. GibsonStartup Funds - A. JonesStartup Funds - K. ShowalterStartup Funds - K. WattsStartup Funds - L. ConnerStartup Funds - S. BarnhartGeneral - Social Work Dept Funds*Choose OneOther - General SW Dept Funds RequestHiddenPlease select the grant for this purchase:*Adoption Support for Kentucky ProgramCitizens Review PanelFoster Parent Mentor Program/RetentionFoster Parent Training ProgramMedically Complex Training ProgramOffice of Child Welfare, Evaluation, Support & TechnologyChildren's Justice Act Task ForceCredit for LearningIntegrated Behavioral Health for MSW Students (IBH)A Multidisciplinary Approach to Training Individuals in the SBIRT Model (SBIRT)Army-UK MSW ProgramOWEPOther - Please Specify*Please list the source of this funding:*This can be your faculty development fund, a grant outside of those with a P.I. in our college, or startup funds.File Drop files here or Select files Accepted file types: pdf, jpg, png, xlsx, doc, docx, pdf, jpg, png, xlsx, doc, docx, Max. file size: 5 MB. Attach any scanned documents, receipts, images, or other materials that may be pertinent to this purchase request.Total Price: $0.00 EmailThis field is for validation purposes and should be left unchanged.