Kettering University

Funds or Materials Request

The following provides general information to assist you in completing the form (typed only). It may be helpful to have this numbered sample with you when you review the following instructions.

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1. Suggested Supplier / Payee:
   Provide as much information regarding the supplier / payee, i.e.;
   complete name and social security number if requesting a check to be issued to an individual; or
   complete name, address, telephone and/or fax numbers (include area code) and contact name (e-mail address when known) if issued to a vendor
2. Deliver To:
   Indicate the person's name and room number where the funds or materials should be delivered within the University
3. Origination Date: Date the form is typed
4. Date Needed:
   • For Bookstore / Check / Petty Cash / Supply 
     Requests are filled within a reasonable amount of lead time
     Checks are drawn each Friday - Cutoff date is the prior Tuesday
   • For Purchase Orders, consider the following:
     Vendor location - if a RUSH order, specify preferred shipping method
     Stock availability
     Does Kettering have an account with the vendor?
     New vendors may require a credit check or prepayment, which may delay processing 3-5 days
5. Bookstore / Check / Petty Cash / Purchase Order (P.O.) / Supply:
   Check the appropriate box for your request
   For Check / Purchase Order, designate "Mail" or "Hold" - those marked "Mail" or not specified are mailed directly to the supplier / payee
6. Quantity:
   Be specific on the quantity of materials ordered, i.e.;
   box or carton, for example, should specify how many items per container
7. I.D. No.:
   Identification or catalog number of the material being ordered, if available
8. Description & Estimated Cost:  (see Purchasing Guidelines)
   • Description of materials, including color, size and price
   • Whenever possible, include quote, order, reference number or contact person's name
   • If contracting for services, specify the service provided, date(s) the service is performed, rate or fee for the service, social security number or taxpayer identification number of supplier / payee, and contact person within the University
   • Federal guidelines require that payment for services rendered or rentals be made directly to the individual or company providing the services / rentals
   • When requesting payment for an invoice, attach the original invoice
   • When requesting reimbursement for expenditures, attach original receipts and / or prepaid invoices
   • When requesting cash advance, include amount of advance (up to $300 for petty cash requests), purpose of travel (i.e.; meeting, name of seminar / conference, recruiting, etc.), travel destination(s) and date(s) of travel
   • When requesting prepayment for a conference or seminar, attach original documentation listing the name, date, location and all fees associated with the event
   • When purchasing item from bookstore, state business purpose (i.e.; office supplies, recipient if known for gifts or prizes)
9. Dept. No.: 
   Index number and account code which funds or materials are to be charged
10. Contact Person: Originator of the form
11. Received by: 
    For Bookstore / Petty Cash / Supply requests, this is signed upon receipt of funds or materials
12. Filled by:
    For Bookstore / Supply Stores Personnel use only
13. Approved by:
    Original authorized signatures for index(es) used
    For questions regarding who can sign, see your department secretary or contact us at x9790