Administration Purchase Justification Form

Please complete this form and provide accurate details reflecting the purchase. Ensure including a detailed justification for consideration in the appropriate space provided.

Requester Information

Name	Role/Position	Department	Date
[Requester's Name]	[Requester's Role/Position]	[Requester's Department]	[Month Day, Year]

Purchase Details

No.	Item	Vendor	Quantity	Cost	Total
1	Ergonomic office chair	Wellness Supply	15	$250	$3750
Total

Justification

The ergonomic office chair will ensure lumbar support enabling employees to feel comfortable while doing their job.

Approval

• Approved

• Declined

[Signature]

[Approver's Name]

[Approver's Role/Position]

[Your Company Name]

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