Non-WO Purchase Request Non-work order purchase requests, direct funded. Order Type*Specific orderBlanket orderBlanket Order Number*Submitter InformationSubmitter Name* First Last Submitter Email* Submitter Phone*Date Needed Date Format: MM slash DD slash YYYY Do Not Ship Before Date Format: MM slash DD slash YYYY Contact Submitter before DeliveryYesNoComments for the VendorVendor InformationVendor NumberVendor Name*Address Line 1*Address Line 2*Email Vendor Contact* First Last Vendor Contact Email* Vendor Contact Phone*Shipping InformationShip To*Include building name, if applicable.Address Line 1*Address Line 2*Attention*Shipping*Select a shipping type...FP&M pays shippingVendor pays shippingInstalledVendor serviceOrder InformationUW Contract No.DOA Contract No.Best Judgement: Less than $5,000.00YesNoSimplified BidYesNoRequested Items*QtyUnitsUnit CostDescription Total Cost*Account*Enter four (4) digitsFund*Enter three (3) digitsDepartment*Enter six (6) digitsProgram*Please enter a number from 0 to 9.Enter one (1) digitFiscal Year*202020212022202320242025Select a fiscal year.ProjectEnter 3 alphanumeric characters and 4 digits.BuildingEnter four (4) digits.Attachments Drop files here or Comments for Approver and/or Purchasing AgentApprovalsAdditional approvals may be required for this purchase request. Enter a total cost to determine whether one or more additional approvals are necessary.The total cost of this purchase request is less than $5,000.00. No further approvals are required.Supervisor approval required (all purchases over $5,000.00)Supervisor Name*Director approval required (all purchases over $50,000.00)Director Name*Deputy AVC or AVC approval required (all purchases over $100,000.00)Deputy AVC or AVC Name*For purchase requests that require approval and signatures (purchases $5,000.00 and above), you must do the following: Print the form that is emailed to you when you submit this request. Acquire the required signatures from the required approvers. Scan the signed request form. Do one of the following: For Specific Orders: Email the signed request form and any related documentation to FP&M Business Operations and Purchasing at fpmpurchasing@fpm.wisc.edu. For Blanket Orders: You are responsible for maintaining accurate files of the signed request form and related documents. These directions are included in the form that is emailed to you.