You must have JavaScript enabled to use this form. Information message Upon submission requests will be routed to CS Team <csteam@colorado.edu> for processing. Submitter Information Logged in as Please login (top right) with your UCB IdentiKey via SSO if you have one. First Name Last Name Email To send a copy of this request to multiple email recipients designate by a comma. Example: first.last@colorado.edu, first.last@colorado.edu (both will receive an email copy of this request upon submission). If you’re a student who has received permission from a faculty member to create a purchase request, create a request for reimbursement, or to request approval to travel, you MUST include in the email section of this request, the email of the faculty who has authorized the transaction, so that they receive a copy of your request form. Forms submitted without this information cannot be processed and you will be asked to re-submit your transaction. Primary Affiliation CU Faculty / Staff CU Student Attach Approval One file only.32 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Check to confirm this criteria has been met If you’re a student who has received permission from a faculty member to create a purchase request, create a request for reimbursement, or to request approval to travel, you MUST include in the email section of this request, the email of the faculty who has authorized the transaction, so that they receive a copy of your request form. Forms submitted without this information cannot be processed and you will be asked to re-submit your transaction. Request Details Type of Request Reimbursement Request a reimbursement, the transaction is already complete Purchase Request Request the department to place an order on your behalf Reimbursement Details Information message Attach the itemized receipt, which is a requirement for reimbursement Attachments Unlimited number of files can be uploaded to this field.32 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Is this being filled on behalf of someone? No Yes I will provide their contact information Select an Option Employee Non-Employee Home Address Street Address City/Town State/Province ZIP/Postal Code Reimburse To First Name Last Name Email Multiple email addresses may be separated by commas. Purchase Description Provide a detailed description and estimates or actual cost of items purchased/to be purchased Provide the detailed business purpose of the purchase (“to support research/teaching” is not detailed enough) Funding Source(s) to be charged, include name and/or speedtype Attachments Unlimited number of files can be uploaded to this field.32 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. Agreement Signature Sign above For the purchases listed above, I certify that the transactions were all purchases for University of Colorado business and that no personal purchases were made. For sponsored project purchases, I also verify that the cost is reasonable, allocable to the project, and that the item(s) will be used only for the project listed. CAPTCHA You are not logged in, please complete verification.
