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- "Purchase of Goods/Services Requisition Form" - Colorado
"Purchase of Goods/Services Requisition Form" - Colorado
Purchase of Goods/Services Requisition Form is a legal document that was released by the Colorado Department of Military and Veterans Affairs - a government authority operating within Colorado.
Form Details:
- Released on September 25, 2015;
- The latest edition currently provided by the Colorado Department of Military and Veterans Affairs;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Military and Veterans Affairs.
!["Purchase of Goods/Services Requisition Form" - Colorado](https://data.templateroller.com/pdf_docs_html/1788/17887/1788702/page_1_thumb.png ""Purchase of Goods/Services Requisition Form" - Colorado")
1COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
PURCHASE OF GOODS/SERVICES REQUISITION FORM
Form is not complete unless accurate, all signatures obtained, and required documentation attached.
Requested by:
Work Unit:
Phone:
Dated Requested:
Date Needed:
Fax Number:
Requested Vendor:
Vendor FEIN:
Vendor Phone:
Vendor Address:
Item(s) or Service Requested (Please be specific):
Qty
Unit
Complete Description
Item #
Unit Price
Total
$
TOTAL:
$
Approvals:
Authorized Signature:
Date:
Authorized Signature:
Date:
OSA Delegate (if required):
Date:
Shipping Information:
Facility:
Address:
Bldg No.:
City, State, ZIP:
SHIP CODE:
Requestor Checklist (Form will not be accepted by Accounting/Purchasing and Contracts without being completed, all
signatures obtained, and required documentation attached.) PLEASE CHECK ALL THAT APPLIES:
Goods $10k - $150k:
_____
Services <$25k:
_____
Services >$25k <$150k:
_____
Vendor Quote w/in 30 days: ____
Scope of Work Attached: _____
Product Picture attached: ____
Sole Source: ____
Sole Source Justification: ____
Personal Services Cert: ____
Business Case: _____
Personal Services Waiver: _____
Cost Analysis: ____
Insurance Certificate: _____
Documented Quote Required: ___
>$150k RFP/IFB/AFB required: __
PLEASE NOTE PROCESSING TIMES AND PLAN ACCORDINGLY, allow additional time for procurements requiring BIDS:
Accounting: 5 BUSINESS days from receipt; Purchasing and Contracts: 5-7 BUSINESS days from receipt.
CORE Funding Codes:
LINE
FUND
DEPT
UNIT
APR UNIT
OBJT
ACT
LOC
PROG
AMOUNT
% STATE/
CODE
CODE
FED
________________________________
DMVA Accounting Approval
Date
PAC Revised: 09/25/2015
COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
PURCHASE OF GOODS/SERVICES REQUISITION FORM
Form is not complete unless accurate, all signatures obtained, and required documentation attached.
Requested by:
Work Unit:
Phone:
Dated Requested:
Date Needed:
Fax Number:
Requested Vendor:
Vendor FEIN:
Vendor Phone:
Vendor Address:
Item(s) or Service Requested (Please be specific):
Qty
Unit
Complete Description
Item #
Unit Price
Total
$
TOTAL:
$
Approvals:
Authorized Signature:
Date:
Authorized Signature:
Date:
OSA Delegate (if required):
Date:
Shipping Information:
Facility:
Address:
Bldg No.:
City, State, ZIP:
SHIP CODE:
Requestor Checklist (Form will not be accepted by Accounting/Purchasing and Contracts without being completed, all
signatures obtained, and required documentation attached.) PLEASE CHECK ALL THAT APPLIES:
Goods $10k - $150k:
_____
Services <$25k:
_____
Services >$25k <$150k:
_____
Vendor Quote w/in 30 days: ____
Scope of Work Attached: _____
Product Picture attached: ____
Sole Source: ____
Sole Source Justification: ____
Personal Services Cert: ____
Business Case: _____
Personal Services Waiver: _____
Cost Analysis: ____
Insurance Certificate: _____
Documented Quote Required: ___
>$150k RFP/IFB/AFB required: __
PLEASE NOTE PROCESSING TIMES AND PLAN ACCORDINGLY, allow additional time for procurements requiring BIDS:
Accounting: 5 BUSINESS days from receipt; Purchasing and Contracts: 5-7 BUSINESS days from receipt.
CORE Funding Codes:
LINE
FUND
DEPT
UNIT
APR UNIT
OBJT
ACT
LOC
PROG
AMOUNT
% STATE/
CODE
CODE
FED
________________________________
DMVA Accounting Approval
Date
PAC Revised: 09/25/2015
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Most popular documents
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DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
DD Form 1750 "Packing List"
-
IRS Form W-2 "Wage and Tax Statement"
-
DD Form 1351-2 "Travel Voucher or Subvoucher"
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DA Form 3595 "Record Fire Scorecard"
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DD Form 2923 "Privacy Act Data Cover Sheet"
-
DD Form 2813
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DD Form 2656 "Data for Payment of Retired Personnel"
Popular Articles
- Rental Property Inspection Checklist for Tenants Rental Property Inspection Checklist for Tenants
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- FB Form 4986-E, Personal Property Record FB Form 4986-E, Personal Property Record
- PS Form 3547, Notice to Mailer of Correction in Address PS Form 3547, Notice to Mailer of Correction in Address
- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
- USCIS Form I-797C, Notice of Action USCIS Form I-797C, Notice of Action
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