PO Request Form
If you have any questions about this form or the PO process, please reach out to Brittni Carlsen.
Requester Name
*
First Name
Last Name
Who should recieve the PO from Procurment, you (Requester) or to the Admin? *Note this person will be responsible for submitting the invoice to nic.supplier.invoice@ni.com on receipt of the PO. This person will be who AP routes invoice approval and questions to through Inspyrus. This person cannot be the same as the approver*
Requester
Admin
Other
Supplier Name
*
What type of PO do you need?
*
Standard one-time payment
Blanket PO
Amortization
Invoice Number (Or detailed quote if PO is needed before invoicing)
*
Dollar amount of invoice (please exclude taxes)
*
Total $ amount needed to cover the contract or SOW
*
Brief description (What goods or services is this invoice for?)
*
Cost Center
*
Is this being charged to multiple cost centers?
*
Yes
No
Please list all cost centers and $ amount or % that needs to be charged to each.
*
Account Code (5 digit code this was budgeted under. If you do not know, ask your manager.)
*
Approving Manager
*
First Name
Last Name
Please specify the number of months or time range this is being amortized for.
*
Please specify if this needs to hit your budget in a specific month.
Please attach invoice in .pdf format.
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of
Any other type of attachment, please attach here (contracts, SOW, etc.)
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Notes
Submit
Should be Empty: