Purchase Requisition Form

E-Purchase Requisition Form

Delaware State University Foundation Inc. 1200 N. Dupont Hwy., Dover, DE 19901
Requestor's Name

First NameLast Name
Department Name's
E-mail
Contact Number

Area CodePhone Number
Vendor's Name
Company's Legal Name on W9
Must Match W9 Information
Vendor Status - Is this vendor a full-time staff member of Delaware State University, If yes, effective 7/1/24, you must complete a PAF to process staff additional pay?
Vendors' EIN or SSN - (D100# not acceptable)
Incorrect EIN/SSN will delay processing!
Vendor's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vendor's Phone Number

Area CodePhone Number
Vendor's Email
The Foundation will email a secure direct deposit e-form to vendor.
What is the total amount of the attached Invoice?
Please upload quote or invoice or other required documentation - REQUIRED

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Purpose for Purchase
Payment Source - please select a method of payment
For direct deposit - a secure direct deposit e-form will be emailed to vendor.
Account number to charge to?
Foundation Account Number Only
Department Head's or Direct Supervisor's Name - required

First NameLast Name
Department Head or Direct Supervisor's Email - required
example@example.com
Please upload a signed statement from your department head or supervisor authorizing your request and the amount.

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THIS IS A REQUIREMENT BEFORE REQUISTION CAN BE PROCESSED Cancelof
Did you upload all required information!

The Vendor's:
- EIN (employee identification number)
- A W9 (for all new vendors)
- A Contract (if paying a vendor more than $10,000 per year)
- A quote or invoice
- Department head signed statement authorizing purchase.
NOTE: Missing information will delay the processing of your requisition.
Signature of Requestor.
Should be Empty:

E-Purchase Requisition Form