The code block below illustrates how one might use # and // as comments in your logic and calculations.

This value you provided is not a number. Please try again.

This value you provided is not an integer. Please try again.

The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.

The value you provided must be within the suggested range

The value you provided is outside the suggested range

This value is admissible, but you may wish to double check it.

The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).

This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.

This field must be a 10 digit North American phone number (like 415 555 1212). Please re-enter it now.

This field must be a valid email address (like joe@user.com). Please re-enter it now.

The value you provided could not be validated because it does not follow the expected format. Please try again.

Required format:

zqo8hLIqPCkG5a8jdsXsEMay7xj23HE5y2YK6HWFWuP4b984Wm8Jx

ENT Purchase Request Form

STOP:

Please change to survey mode or automated notifications related to this record will not be triggered.

Contact Person:

* must provide value

Contact Person Email:

* must provide value

Do you want another email included on communications?

Yes

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Please provide the email for the additional contact you would like to receive communications on this purchase

ENT Purchasing Staff Covering Request

Update the default action tag for this field to change who receives the purchasing emails.

NOTE: If multiple people start responding to requests/getting email notifications, create a database instrument and move this field there to indicate the email to send to. This will have to be done manually by the admin staff for each request.

Department Approver email

Department Grant Contact

Short label for item requested

This purchase has already been made on a PCard and I am providing this information for reconciliation.

Yes No

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Please upload the receipt for this purchase.

Upload file

What is needed?

Please provide specifications so that the purchasing specialist can shop for the item (especially if it may be available on UMarket) and suggestions of where to purchase (including a direct link if you have one).

Please include Quantity, Cost, Item name, and Supplier name.

If this is a request for clin cards please provide the total dollar amount for the PO.

* must provide value

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Justification:

Be sure to include what is requested, why this benefits the person using it, why it would benefit the University.

* must provide value

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Is this request for a computer, laptop, tablet, external hard drive, or other IT equipment or accessory?

* must provide value

Yes

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Does this request require the creation of a PO or payment against an existing PO?

Your purchase will likely require a PO if it meets any of the following criteria:

Equipment purchase (from non-U Market suppliers)

For professional services

For recurring standard goods or services

Over $2,500 (from non-U Market suppliers)

Yes No I don't know

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What is the status of the PO?

If a PO already exists, we will pay the invoice for this purchase.

If you need a new PO AND to pay an invoice against the new po, please submit the request for a new PO and invoice against the PO separately in REDCap.

Review https://uwidecontracts.umn.edu/ and UMarket when possible.

Need a new PO One exists already I don't know

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Have we ordered from this vendor before?

Yes No I don't know

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Would you like to upload any associated documents (e.g. price quote, screenshots)?

Note: Quotes are required for purchases over $2,500.00, international purchases, services.

Yes No

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Attach your document here.

Upload file

Would you like to upload another attachment?

Yes No

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Attach your document here.

Upload file

Would you like to upload another attachment? This will be your third (and final) attachment.

Yes No

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Attach your document here.

Upload file

Priority level:

Requested order-by date for a high/urgent priority item:

M-D-Y

Note: By requesting an "urgent" request, the PI or Reseach Manager will be sent a survey to approve and expedite the purchase timeframe. Please the appropriate email below for approval.

You will get a confirmation email when the PI or Research Manager submits the survey to approve this request. If you don't recieve the confirmation within a few days, follow up with the PI or manager.

PI or Research Manager email for approval

* must provide value

Who is the PI associated with the account that will be used for purchase?

Who is the PI associated with this purchase?

* must provide value

Which project should be charged?

* must provide value

Name or identifier for other project:

* must provide value

You have requested to charge the purchase to one of Dr. Lim's Research Lab / Discretionary funds. Please select that option only if you don't see your specific project listed elsewhere in the options above. Assuming this should be charged to Lim Lab discretionary funds and assuming the items aren't general office or lab supplies, but are for a specific project, which project is it?

Please provide a short name.

(If you don't know, write IDK.)

If the charges will be spread across more than one account, please note the additional information here.

Has this purchase request been approved by the PI, Research Manager, or Lab Manager?

* must provide value

Yes No

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I have confirmed study budget availability.

* must provide value

Yes No

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Please explain:

Will this purchase include a shipment to the Department?

* must provide value

Yes

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What address should be used for the shipment?

* must provide value

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Please click "Today" button to provide a time stamp for this request.
Once you have entered the date, select "Complete" below and save this form, the request will be considered submitted.

* must provide value

M-D-Y

Thank you for your submission. Please allow 2-3 business days for the request to be reviewed.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.