Purchase, Invoice, and Reimbursement

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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's UW email address

Unit(Required)

APF Sub-Unit(Required)

ASA Sub-Unit(Required)

DCCS Sub-Unit(Required)

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HSS Sub-Unit

PRES Sub-Unit(Required)

PROV Sub-Unit(Required)

Action Request

EO Assistance(Required)

Did you consult with or receive assistance from an Executive Office Finance team member prior to filling out this form?

Yes

Team Member Name

Who assisted you?

I need assistance with...(Required)

Is this for invoicing or purchasing non-travel items or services?

Purchasing goods or services

Paying a vendor invoice

Processing a non-travel reimbursement

Item(s) Needed(Required)

Office Supplies

Food

Conference Registration

Other

Items for Reimbursement(Required)

Office Supplies

Food

Conference Registration

Other

Items - Other(Required)

Office Supply Vendor & Purchase Details

Provide vendors and links for desired items. For example:

Supplies: Office supply store name | stapler, tape, reams of paper | link to order/website | $236.19

Vendor

Item(s)

Link

Amount

Mailing/Shipping Address(Required)

Deliver office supplies to this address.

Street Address

UW Box Number

City

State

ZIP Code

Food Vendor & Purchase Details

Provide vendors and links for desired items. For example:

Food: Sandwich Deli | 75 sandwich boxes | link to sandwich place menu | $149.67

Vendor

Item(s)

Link

Amount

Number of Invitees(Required)

How may individuals are expected to attend the event where food will be provided?

Attendee List - Invoice(Required)

Would you like to upload a document with the list of names or enter each name individually?

Upload List of Attendees

Provide Attendee Names

Attendee List - Reimbursement(Required)

Would you like to upload a document with the list of names or enter each name individually?

Upload List of Attendees

Provide Attendee Names

Upload List of Attendees(Required)

Upload a document or image that includes a list of all attendees at the food event.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 15 MB.

Attendee Names(Required)

Provide the names of all attendees to event where food service was provided. (Add as many rows as needed.)

Conference Attendance Method(Required)

In-Person

Online

Conference Title(Required)

Estimated Total Amount(Required)

Total amount including taxes and fees in USD.

Justification(Required)

Provide a brief justification for purchase, payment of invoice, or non-travel reimbursement.

Receipts and Documentation(Required)

Upload receipts any additional background documentation that would be helpful to the EO Finance Team when reviewing this request.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 15 MB.

Receipts and Documentation(Required)

Upload receipts any additional background documentation that would be helpful to the EO Finance Team when reviewing this request.

Drop files here or

Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 15 MB.

Documentation Upload

Upload receipts any additional background documentation that would be helpful to the EO Finance Team when reviewing this request.

Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, jpg, jpeg, png, Max. file size: 15 MB.

Additional Information

Provide any additional, relevant information on needed action.