Please complete this form and provide accurate details reflecting the purchase. Ensure including a detailed justification for consideration in the appropriate space provided.
Name | Role/Position | Department | Date |
[Requester's Name] | [Requester's Role/Position] | [Requester's Department] | [Month Day, Year] |
No. | Item | Vendor | Quantity | Cost | Total |
1 | Ergonomic office chair | Wellness Supply | 15 | $250 | $3750 |
Total |
The ergonomic office chair will ensure lumbar support enabling employees to feel comfortable while doing their job. |
Approved
Declined
[Signature]
[Approver's Name]
[Approver's Role/Position]
[Your Company Name]
Templates
Templates