"Purchasing Card Additional Justification Form" - Florida

Purchasing Card Additional Justification Form is a legal document that was released by the Florida Department of Juvenile Justice - a government authority operating within Florida.

Form Details:

  • Released on April 1, 2010;
  • The latest edition currently provided by the Florida Department of Juvenile Justice;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Juvenile Justice.

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Download "Purchasing Card Additional Justification Form" - Florida

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Purchasing Card Additional Justification
This form should be used to accurately describe and certify purchases that are made with state
funds, which due to their nature have the capacity for personal use. Examples are nails, paint,
tools, electronic items such as; cameras, GPS Systems, televisions, DVD players, HDTV
converter boxes, and food from non-contracted vendors, etc. Used correctly this form should
adequately justify those purchases in the event of an audit. Please fill the form out completely to
ensure no follow up will be required during the reconciliation review process.
Vendor Name
Vendor Invoice Number
Total Purchase Amount:
Purchase Date:
Location of Item Purchased:
Serial Number if Electronic Purchase:
Please detail the item(s) purchased
Administrative Purchases
Please explain how this purchase will benefit the state and assist the department’s ability to carry
out its mission statement.
Client Purchases
What criteria were used to select the beneficiaries of this purchase?
How does the purchase assist the department’s ability to carry out its mission statement?
Cardholder Signature
Date
Program Unit
Supervisor Signature
Date
Purchases with the Purchasing Card (PCard) will be in accordance with the DJJ Pol icy and Procedure 1407.05
and DJJ Purchasing Policy & Procedure 1675. If a state on agency term contract is available (for example TV’s,
projectors, laptops, etc.), that particular contract will be used, unless specific approval in accordance with state
laws and procedures is provided.
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DJJ P-CARD ADDITIONAL JUSTIFICATION FORM
Effective: 4/1/10
Purchasing Card Additional Justification
This form should be used to accurately describe and certify purchases that are made with state
funds, which due to their nature have the capacity for personal use. Examples are nails, paint,
tools, electronic items such as; cameras, GPS Systems, televisions, DVD players, HDTV
converter boxes, and food from non-contracted vendors, etc. Used correctly this form should
adequately justify those purchases in the event of an audit. Please fill the form out completely to
ensure no follow up will be required during the reconciliation review process.
Vendor Name
Vendor Invoice Number
Total Purchase Amount:
Purchase Date:
Location of Item Purchased:
Serial Number if Electronic Purchase:
Please detail the item(s) purchased
Administrative Purchases
Please explain how this purchase will benefit the state and assist the department’s ability to carry
out its mission statement.
Client Purchases
What criteria were used to select the beneficiaries of this purchase?
How does the purchase assist the department’s ability to carry out its mission statement?
Cardholder Signature
Date
Program Unit
Supervisor Signature
Date
Purchases with the Purchasing Card (PCard) will be in accordance with the DJJ Pol icy and Procedure 1407.05
and DJJ Purchasing Policy & Procedure 1675. If a state on agency term contract is available (for example TV’s,
projectors, laptops, etc.), that particular contract will be used, unless specific approval in accordance with state
laws and procedures is provided.
Save As
Reset/Clear Form
Print Page
DJJ P-CARD ADDITIONAL JUSTIFICATION FORM
Effective: 4/1/10