Purchase, Invoice, and Reimbursement Request Form Step 1 of 2 50% Preparer InformationPreparer / 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 ContactIn the event of your absence, who should be contacted? First Last Alternate Contact UW EmailAlternate contact's UW email address Unit(Required)-CHOOSE ONE-Academic Personnel (AP)Academic and Student Affairs (ASA)President (PRES)Provost (PROV)Faculty SenateHealth Sciences Services (HSS)Division of Campus Community Safety (DCCS)AP Sub-Unit(Required)-CHOOSE ONE-AP: CoreAP: Ops, AHR, PIMAP: Ops ISOAP: Faculty AdvancementASA Sub-Unit(Required)-CHOOSE ONE-ASA: Academic Technologies (AT)ASA: AdmissionsASA: AdvancementASA: Center for Teaching and Learning (CTL)ASA: CoreASA: Financial AidASA: Information Services (ASA-IS)ASA: International Student ServicesASA: RegistrarASA: Strategic InitiativesDCCS Sub-Unit(Required)-CHOOSE ONE-DCCS: CoreDCCS: SafeCampusDCCS: Emergency ManagementDCCS: UWPDHSS Sub-Unit(Required)-CHOOSE ONE-HSS: Academic Services & Facilities (AS&F)HSS: CoreHSS: Interprofessional Education (IPE)PRES Sub-Unit(Required)-CHOOSE ONE-PRES: Board of Regents (BOR)PRES: CorePRES: Environmental Health & Safety (EH&S)PRES: Internal Audit (IA)PRES: OmbudPRES: Population HealthPRES: University Rules & PolicyPRES: UWINCO Action RequestEO 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 NameWho 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 DetailsProvide vendors and links for desired items. For example:Supplies: Office supply store name | stapler, tape, reams of paper | link to order/website | $236.19VendorItem(s)LinkAmount Add RemoveFood Vendor & Purchase DetailsProvide vendors and links for desired items. For example:Food: Sandwich Deli | 75 sandwich boxes | link to sandwich place menu | $149.67VendorItem(s)LinkAmount Add RemoveNumber 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 Select files 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.) Add RemoveConference 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 Select files 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 Select files Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 15 MB. Documentation UploadUpload receipts any additional background documentation that would be helpful to the EO Finance 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. Additional InformationProvide any additional, relevant information on needed action.