"Purchase Order Change Order Authorization Form" - Colorado

Purchase Order Change Order Authorization 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 July 1, 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;
  • Fill out the form in our online filing application.

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.

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Download "Purchase Order Change Order Authorization Form" - Colorado

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COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
PURCHASE ORDER CHANGE ORDER AUTHORIZATION 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:
PO NO.:
Reason for Item(s) or Service Change (Please be specific):
Qty
Unit
Complete Description
Item #
Unit Price
Total
$
TOTAL:
$
Purchase Order Totals:
Current Purchase Order Amount:
Increase/Decrease Amount:
New Purchase Order Amount:
Approvals:
Authorized Signature:
Date:
Authorized Signature:
Date:
OSA Delegate (if required):
Date:
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:
Vendor Quote w/in 30 days: ____
Scope of Work Attached: _____
Product Picture attached: ____
Personal Services Cert: ____
Cost Analysis: ____
Business Case: ____
PLEASE NOTE PROCESSING TIMES AND PLAN ACCORDINGLY, Accounting: 5 BUSINESS days from receipt; Purchasing
and Contracts: 5-7 BUSINESS days from receipt.
CORE Coding:
LINE
FUND
DEPT
UNIT
APR UNIT
OBJT
ACT
LOC
PROG
AMOUNT
% S/F
CODE
CODE
________________________________
DMVA Accounting Approval
Date
PAC Revised: 07/01/15
COLORADO DEPARTMENT OF MILITARY AND VETERANS AFFAIRS
PURCHASE ORDER CHANGE ORDER AUTHORIZATION 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:
PO NO.:
Reason for Item(s) or Service Change (Please be specific):
Qty
Unit
Complete Description
Item #
Unit Price
Total
$
TOTAL:
$
Purchase Order Totals:
Current Purchase Order Amount:
Increase/Decrease Amount:
New Purchase Order Amount:
Approvals:
Authorized Signature:
Date:
Authorized Signature:
Date:
OSA Delegate (if required):
Date:
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:
Vendor Quote w/in 30 days: ____
Scope of Work Attached: _____
Product Picture attached: ____
Personal Services Cert: ____
Cost Analysis: ____
Business Case: ____
PLEASE NOTE PROCESSING TIMES AND PLAN ACCORDINGLY, Accounting: 5 BUSINESS days from receipt; Purchasing
and Contracts: 5-7 BUSINESS days from receipt.
CORE Coding:
LINE
FUND
DEPT
UNIT
APR UNIT
OBJT
ACT
LOC
PROG
AMOUNT
% S/F
CODE
CODE
________________________________
DMVA Accounting Approval
Date
PAC Revised: 07/01/15