Contract Initiation – Request Form Contract Initiation Step 1 of 2 50% Preparer Information Preparer / Submitter(Required) I am submitting on my own behalf I am submitting on another's behalf Preparer Name(Required) Your name First Last Preparer UW Email(Required) Your email Name(Required) Name of individual you are preparing on behalf of. First Last Email(Required) Email of individual you are preparing on behalf of. Alternate Contact In the event of your absence, who should be contacted? First Last Alternate Contact UW Email Alternate contact UW email address Unit(Required) -CHOOSE ONE-Academic Personnel & Faculty (APF)Academic Strategy & Affairs (ASA)Attorney General Office (AGO)Division Campus Community Safety (DCCS)Enrollment Management (EM)Executive Office (EO)Shared Governance (SG) APF Sub-Unit(Required) -CHOOSE ONE-APF: Faculty AffairsAPF: Faculty DevelopmentAPF: Faculty Inclusive ExcellenceAPF: Vice Provost Leadership & Management ASA Sub-Unit(Required) -CHOOSE ONE-ASA: Academic Technologies (AT)ASA: Center for Teaching & Learning (CTL)ASA: Information Services (ASA-IS)ASA: Vice Provost Leadership & Management DCCS Sub-Unit(Required) -CHOOSE ONE-DCCS: Emergency ManagementDCCS: Husky Assist Mobile Response TeamDCCS: SafeCampusDCCS: UW Police DepartmentDCCS: Vice President Leadership & Management Enrollment Management Sub-Unit(Required) -CHOOSE ONE-EM: AdmissionsEM: International Student Services (ISS)EM: Student Financial Aid (OSFA)EM: University Registrar (OUR)EM: Vice Provost Leadership & Management Executive Office Sub-Unit(Required) -CHOOSE ONE-EO: Board of RegentsEO: Environmental Health & SafetyEO: Executive Office of the President & ProvostEO: Health Sciences ServicesEO: Internal AuditEO: OmbudEO: Strategic InitiativeEO: University Rules & PolicyEO: UWINCO Contract Information EO Assistance(Required) Did you consult with or receive assistance from an Executive Office Finance team member prior to filling out this form? No Yes Team Member Name Who assisted you? Purchase Amount(Required) Under $10,000 $10,000+ Vendor Status(Required) Vendor Already Selected No Vendor Identified (Need RFP) Supplier is Registered(Required) Yes No Not sure Supplier Status(Required) U.S. Domestic Foreign/Non-U.S. Supplier Name(Required) Supplier Contact Name(Required) Supplier Phone Supplier Email(Required) Contract Start Date(Required) MM slash DD slash YYYY Contract End Date(Required) MM slash DD slash YYYY Estimated Contract Start Date(Required) MM slash DD slash YYYY Estimated Contract End Date(Required) MM slash DD slash YYYY Contract Amount(Required) Estimated Contract Amount(Required) Description of Contract(Required) Describe purpose of contract in a brief sentence. Data Processing Agreement (DPA)(Required) Does a DPA already exist for this contract? Any UW activity that involves sharing personal data with an external (non-UW) organization or contractor, requires a DPA. DPA Information (UW Privacy) DPA Decision Support Tool Yes No - DPA Not Required In progress Not sure Additional Information Provide any additional, relevant information on needed action. Contract(Required) Upload a PDF of the new contract. Drop files here or Select files Max. file size: 15 MB. Sole Source Justification(Required) Upload a PDF of the Sole Source Justification. Drop files here or Select files Max. file size: 15 MB. Scope of Work and Requirements(Required) Upload a PDF of the Scope of Work and Requirements. Drop files here or Select files Max. file size: 15 MB. Data Processing Agreement(Required) Upload a PDF of the existing DPA Drop files here or Select files Max. file size: 15 MB. Documentation Upload Upload any additional documentation that would be helpful to the EO Fin Team when reviewing this request. Drop files here or Select files Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg, png, Max. file size: 15 MB.